Clinical Example: Percutaneous PIP Release for Dupuytren's Contracture
| There is no simple,
consistently effective treatment for proximal interphalangeal
joint flexion contractures, in large part because of the complexity of
normal forces and the diversity of structural changes which can occur
with disease. Isolated PIP contractures due to Dupuytren's contracture
are especially treatment resistant, particularly if associated with MCP
hyperextension. One approach for PIP flexion contracture due to
Dupuytren's disease is percutaneous release of the Dupuytren's cord. An
example is presented here. |
| Click on each image for a larger picture |
| Isolated ring finger PIP
flexion contracture associated with an isolated ulnar lateral cord. |
| These is full passive
hyperextension of the MCP joint, with some active hyperextension
during normal use. |
| The cord can be palpated
and released proximal and distal to the PIP flexion crease. |
| Video summary of release. |
| After release. |
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