Phalangeal Rotation Deformity Correction
If you need a phalangeal rotation deformity correction, please Schedule an appointment with one of our orthopedic specialists as soon as possible.
What Is Phalangeal Rotation Deformity Correction?
Phalangeal rotation deformity refers to the abnormal rotation of the bones in the fingers or toes, often caused by a poorly healed fracture or congenital conditions. This deformity can impair function, making it difficult to grip objects, walk, or perform tasks that require dexterity and mobility. Correcting phalangeal rotation deformities is essential not only for aesthetic reasons but also for restoring function and preventing long-term complications, such as arthritis or joint instability.
Causes of Phalangeal Rotation Deformity
Phalangeal rotation deformities often result from an injury or fracture to the fingers or toes. When a bone fracture does not heal properly or realign correctly, the affected phalanx can heal in an abnormal position, leading to rotational misalignment. This misalignment may cause the finger or toe to twist or turn in a way that interferes with normal movement. Other potential causes include:
- Trauma or Fractures – Improper healing of a broken bone, particularly in the finger or toe, can cause rotational deformities.
- Congenital Conditions – Some individuals are born with abnormal bone or joint structures, leading to rotation deformities.
- Joint Conditions – Conditions like arthritis or ligament injuries may gradually contribute to misalignment and deformity over time.
Symptoms and Diagnosis
The primary symptom of phalangeal rotation deformity is the visible or palpable misalignment of the affected finger or toe. Patients may experience difficulty gripping objects, walking, or performing tasks requiring dexterity in the hand. Along with visible deformity, patients may report pain, swelling, stiffness, and difficulty moving the affected digit.
Orthopedic surgeons begin diagnosis with a thorough physical examination, assessing the rotation of the finger or toe. X-rays or other imaging studies help evaluate the extent of the deformity and plan an appropriate treatment approach. In some cases, CT scans provide more detailed views, especially if the deformity involves multiple joints or fractures.
Surgical Correction of Phalangeal Rotation Deformity
In many cases, surgeons must perform surgery to correct phalangeal rotation deformities and restore normal alignment. The goal is to reposition the bone correctly and ensure it heals in a functional position. The choice of surgical technique depends on the severity and type of deformity:
- Osteotomy: Surgeons cut the bone and realign it into the correct position. They then stabilize the bone with screws, plates, or pins to maintain the new alignment during healing.
- Fusion (Arthrodesis): In cases with severe joint damage or when no viable cartilage remains, surgeons perform joint fusion. This procedure permanently stabilizes the joint, preventing further misalignment.
- Soft Tissue Release: In certain cases, surgeons may need to release or repair the soft tissues (ligaments and tendons) around the affected joint to improve alignment and function.
After surgery, the hand or foot typically remains immobilized in a splint or cast to allow proper healing. Follow-up appointments are essential to monitor the healing process and ensure the alignment remains intact.
Rehabilitation and Recovery
Rehabilitation plays a vital role in restoring function after the surgical correction of phalangeal rotation deformity. Physical therapy helps restore movement, strength, flexibility, and dexterity. The rehabilitation process progresses gradually, with therapy intensifying as healing continues.
Recovery time varies depending on the severity of the deformity and the complexity of the surgery. While most patients recover fully with improved function and reduced pain, the recovery period can range from several weeks to months.
If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.
