Stedtfeld H W, Brug E
Handchirurgie. 1979;11(3-4):161-5.
Camptodactyly occurs relatively often but it rarely needs therapy. For decades the genesis of camptodactyly was not clear until it was discovered that the deformations causing the contraction of the PIP joint are to be found in the area of the dorsal aponeurosis (MILLESI) and of the intrinsic muscles of the hand (WILHELM, KLEINSCHMIDT). At the Münster University anomalies of the lumbricals were found, on occasion of exploration of the palm, but not in all cases. Probably there exist several types of camptodactyly with different defects. The necessity for exploration of the palm is confirmed.
先天性屈曲指较为常见,但很少需要治疗。几十年来,先天性屈曲指的病因一直不明,直到发现导致近端指间关节挛缩的畸形存在于手背腱膜(米莱西)和手部内在肌(威廉、克莱因施密特)区域。在明斯特大学,在探查手掌时偶尔会发现蚓状肌异常,但并非所有病例都如此。可能存在几种具有不同缺陷的先天性屈曲指类型。探查手掌的必要性得到了证实。