AI Article Synopsis
- Non-Dupuytren's contracture, often resulting from trauma or surgery, usually doesn't need surgery; however, in this case, an 81-year-old woman had a series of surgeries for finger issues, leading to ongoing complications.
- During her surgeries, procedures like limited fasciectomy, flexor tenolysis, and joint mobilization were performed, but the flexion contracture persisted after initial attempts.
- Ultimately, despite multiple interventions including excision of the cord and attempts to improve motion, the flexion contracture recurred, highlighting the need to anticipate potential recurrence in surgical planning for non-Dupuytren's contracture.
Article Abstract
Non-Dupuytren's contracture, a cord-like structure formed because of trauma or surgery, rarely requires surgery. An 81-year-old woman underwent flexor tendon sheath release for right middle finger snapping and flexor tenolysis for postoperative complications. At the referral, a cord existed between the base of the middle finger and the mid-palm, and a 50° extension deficit of the metacarpophalangeal joint was noted. We performed a third operation. Limited fasciectomy could not achieve full extension; therefore, flexor tenolysis and joint mobilization were additionally performed intraoperatively. Early range of motion exercises were initiated; however, the patient underwent reoperation due to recurrence. Although the cord and bowstringing flexor digitorum superficialis tendon were excised, the flexion contracture remained. Hence, resection of the volar capsule was added intraoperatively. Nevertheless, the flexion contracture recurred. In planning surgery for a patient with non-Dupuytren contracture, considering the possibility of recurrence may be necessary.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11688654 | PMC |
| http://dx.doi.org/10.7759/cureus.74956 | DOI Listing |
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Article Synopsis
- Non-Dupuytren's contracture, often resulting from trauma or surgery, usually doesn't need surgery; however, in this case, an 81-year-old woman had a series of surgeries for finger issues, leading to ongoing complications.
- During her surgeries, procedures like limited fasciectomy, flexor tenolysis, and joint mobilization were performed, but the flexion contracture persisted after initial attempts.
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