Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a congenital curvature of the [digit, e.g., 5th] finger in the radioulnar plane. Onset noted at [age/birth]. No history of trauma or prior surgical intervention. Chief complaint includes [aesthetic concern/functional limitation/difficulty with grip]. No associated syndromic features or family history of similar digital anomalies reported.
Clinical Examination Findings
Physical examination reveals a [degree, e.g., 15-degree] deviation of the [digit] at the [PIP/DIP] joint. Passive range of motion is [full/restricted]. No evidence of soft tissue contracture or skin webbing. Neurovascular status is intact with distal capillary refill < 2 seconds. Radiographic evaluation confirms [delta phalanx/epiphyseal dysplasia/shortened middle phalanx] consistent with clinodactyly.
Treatment Protocol
Treatment plan: [Observation/Splinting/Surgical Correction]. For surgical candidates, procedure involves [cuneiform osteotomy/soft tissue release/epiphysiodesis] to restore axial alignment. Post-operative care includes immobilization in a [splint/cast] for [duration], followed by physical therapy to optimize range of motion and prevent stiffness.