Surgical treatment for @entity705 in XXXX .

@entity1 @entity154 @entity705 @entity5 @entity4806 @entity85 @entity5607
PURPOSE: @entity705 in @entity4806 occasionally require surgical treatment due to restricted finger motion and/or @entity85 . However, the @entity1 are growing @entity1 , and the indication for surgical treatment is controversial. We reviewed our cases in order to clarify characteristics of @entity5 and to report surgical outcomes. METHODS: We performed surgeries on 17 @entity705 in the digits of 16 @entity1 . The average age at surgery was 3.6 years. Ten of 16 @entity1 had @entity705 , and 6 @entity1 had been diagnosed with @entity5607 . We classified @entity705 into 3 types, according to their locations. Type A is located at the nonepiphyseal metaphysis of the bone (9 lesions), type B in the metaphysis on the epiphyseal plate side (5 lesions), and type C in the diaphysis (3 lesions). Surgery was indicated for either or both restricted motion and @entity85 . Simple excision of the @entity5 was performed in 14 lesions, wedge osteotomy in 2 fingers, and osteotomy with excision of @entity5 in 1 finger. The average follow-up period was 49 months (range, 14-155 mo). RESULTS: Surgical outcomes in types B and C were all good, the deformities were well corrected, and range of motion was improved. On the other hand, in type A, 2 cases still had more than 30   of restricted motion at the final follow-up, and another 2 cases showed more than 10   of @entity85 . CONCLUSIONS: For type A, early surgical treatment is recommended to prevent the progress of the @entity154 and to improve motion. When the @entity5 are oriented more laterally and include less than a third of the joint surface, we recommend sufficient @entity5 excision, which can include part of the articular surface.
