# Strategy for the Conservative Treatment of Type-III Camptodactyly in Children with Beals-Hecht Syndrome

## TL;DR

This paper describes a successful conservative treatment for severe camptodactyly in a child with Beals-Hecht syndrome using static orthoses.

## Contribution

The study presents a novel conservative strategy for treating type-III camptodactyly in a rare syndrome.

## Key findings

- Static orthoses initiated at 7 months corrected the deformity in a child with Beals-Hecht syndrome.
- The treatment was completed after 23.5 months with successful functional outcomes.
- Type-III camptodactyly can be managed non-surgically in some cases with early intervention.

## Abstract

The authors present a successful case in the conservative treatment of type-III camptodactyly in a patient with Beals-Hecht syndrome. Camptodactyly is a flexion deformity of the proximal interphalangeal (PIP) joint, in the anteroposterior direction, painless and bilateral in 2/3 of the cases. Type-III is the most severe and disabling form, as it usually affects several fingers and is associated with syndromes and other malformations. The case herein reported had the correction achieved with the systematic use of static orthoses started at 7 months of age and completed after 23 and a half months of the intervention.

Os autores apresentam um caso bem-sucedido no tratamento conservador da camptodactilia de tipo III em paciente com síndrome de Beals-Hecht. A camptodactilia é uma deformidade em flexão da articulação interfalangeana proximal (IFP), no sentido anteroposterior, indolor, e bilateral em 2/3 dos casos. A de tipo III é a forma mais grave e incapacitante, pois geralmente acomete vários dedos e está associada a síndromes e outras malformações. O caso apresentado teve a correção alcançada com o uso sistemático de órteses estáticas iniciado aos 7 meses de idade e concluído após 23 meses e meio de intervenção.