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Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases

When severe proximal interphalangeal (PIP) joint flexion contracture is induced in the little finger by Dupuytren’s disease, it interferes with activities of daily living. To extend the little finger, open fasciectomy is selected as a general treatment method. However, postoperative complications ha...

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Autores principales: Ito, Yoko, Naito, Kiyohito, Nagura, Nana, Sugiyama, Yoichi, Obata, Hiroyuki, Kaneko, Ayaka, Goto, Kenji, Kaneko, Kazuo, Ishijima, Muneaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938730/
https://www.ncbi.nlm.nih.gov/pubmed/33683196
http://dx.doi.org/10.1051/sicotj/2021005
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author Ito, Yoko
Naito, Kiyohito
Nagura, Nana
Sugiyama, Yoichi
Obata, Hiroyuki
Kaneko, Ayaka
Goto, Kenji
Kaneko, Kazuo
Ishijima, Muneaki
author_facet Ito, Yoko
Naito, Kiyohito
Nagura, Nana
Sugiyama, Yoichi
Obata, Hiroyuki
Kaneko, Ayaka
Goto, Kenji
Kaneko, Kazuo
Ishijima, Muneaki
author_sort Ito, Yoko
collection PubMed
description When severe proximal interphalangeal (PIP) joint flexion contracture is induced in the little finger by Dupuytren’s disease, it interferes with activities of daily living. To extend the little finger, open fasciectomy is selected as a general treatment method. However, postoperative complications have been frequently reported. To solve these problems, finger shortening was undertaken. In this study, we treated two cases of Dupuytren’s disease manifesting severe PIP joint flexion contracture of the little finger with finger shortening by proximodistal interphalangeal (PDIP) fusion in which the middle phalanx is resected and the residual distal and proximal phalanges are fused. For flexion contracture of the MP joint, a percutaneous aponeurotomy using an 18G needle was performed to obtain the extended position of the MP joint. Favorable outcomes with high patient satisfaction, including esthetic aspects of retaining the finger with the nail without complication, were achieved. We report this challenging treatment and its discussion.
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spelling pubmed-79387302021-03-09 Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases Ito, Yoko Naito, Kiyohito Nagura, Nana Sugiyama, Yoichi Obata, Hiroyuki Kaneko, Ayaka Goto, Kenji Kaneko, Kazuo Ishijima, Muneaki SICOT J Case Report When severe proximal interphalangeal (PIP) joint flexion contracture is induced in the little finger by Dupuytren’s disease, it interferes with activities of daily living. To extend the little finger, open fasciectomy is selected as a general treatment method. However, postoperative complications have been frequently reported. To solve these problems, finger shortening was undertaken. In this study, we treated two cases of Dupuytren’s disease manifesting severe PIP joint flexion contracture of the little finger with finger shortening by proximodistal interphalangeal (PDIP) fusion in which the middle phalanx is resected and the residual distal and proximal phalanges are fused. For flexion contracture of the MP joint, a percutaneous aponeurotomy using an 18G needle was performed to obtain the extended position of the MP joint. Favorable outcomes with high patient satisfaction, including esthetic aspects of retaining the finger with the nail without complication, were achieved. We report this challenging treatment and its discussion. EDP Sciences 2021-03-08 /pmc/articles/PMC7938730/ /pubmed/33683196 http://dx.doi.org/10.1051/sicotj/2021005 Text en © The Authors, published by EDP Sciences, 2021 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ito, Yoko
Naito, Kiyohito
Nagura, Nana
Sugiyama, Yoichi
Obata, Hiroyuki
Kaneko, Ayaka
Goto, Kenji
Kaneko, Kazuo
Ishijima, Muneaki
Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases
title Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases
title_full Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases
title_fullStr Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases
title_full_unstemmed Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases
title_short Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases
title_sort finger shortening for dupuytren’s disease-induced severe pip joint flexion contracture of the little finger: a report of two cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938730/
https://www.ncbi.nlm.nih.gov/pubmed/33683196
http://dx.doi.org/10.1051/sicotj/2021005
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