Abstract
V.
Highlights
Brachymetacarpia is a congenital condition characterized by undergrowth of the metacarpal bone in the hand [1]
Distraction osteogenesis for brachymetacarpia has been described in several small case series and single case reports [2, 4,5,6,7,8,9,10]
Complications reported included loss of range of motion (ROM) in the digit, pin site infections, transient sensory disturbances, premature consolidation of the callus and post-lengthening fracture through the regenerate bone [2, 4,5,6,7,8,9,10]
Summary
Brachymetacarpia is a congenital condition characterized by undergrowth of the metacarpal bone in the hand [1]. Written informed consent was attained from both the patient and parents to describe their experience of the rehabilitation process post-distraction osteogenesis for brachymetacarpia This 13-year-old girl first presented to our institution’s plastic and reconstructive surgery clinic at 12 years of age due to episodes of intense pain with subsequent swelling in her right third finger (D3) MPJ. Sensory thresholds returned to normal (2.83) SWM in the affected digit at 3 weeks into the consolidation period Both active ROM and passive ROM exercises were essential until 14 weeks to optimize the length of the intrinsic and extrinsic muscles. Isolated MPJ extension and hook fist passive ROM exercises were initiated at the start of the consolidation period (8 weeks) and were required to maintain intrinsic muscle length. There’s stuff that we had to figure out, and got around.” Better preparation on how to cope and adapt to wearing an exfix at school, home and in the community may improve the child and family’s experience
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