Volar plate. Dupuytren contracture is a condition in which thickening and shortening of the connective tissue occurs in the palm of the hand, that resemble cords and nodules, in which there is some finger flexion as a result.   In addition, the skin becomes much less supple and flexible. Surgery for the main knuckle of the finger (at the base of the finger) has better long-term results than when the joint in the middle of the finger is affected. Digital serial casting is nearly always my first choice for treatment of stubborn PIP joint flexion contractures. In the worst case, amputation of the finger may be needed if the contracture restricts the nerves or blood supply to the finger. Trigger finger is not the same as Dupuytren’s contracture; they are only similar in that both involve finger flexion. When a release of the Dupuytren's cord is performed, the skin may need to be released or it may tear. HOW LONG SHOULD I SERIAL CAST A FINGER? Flexion is prevented by volar plate adhesions to the palmar surface of the proximal bony head. Judy Colditz, OT/L, CHT, FAOTA . Palmar plate adhesions and collateral ligament tightness may both be causes of MP joint extension contracture. In some severe cases, especially if surgery has failed to correct the problem, surgeons remove all the tissue likely to be affected by Dupuytren's contracture, including the attached skin. Find out all you need to know about contracture deformities. By removing the tight cords and fascia, Treating a flexion contracture requires finding out why the patient has the condition and providing appropriate interventions. If the collateral ligaments are contracted, finger abduction–adduction in extension (normally about 45°) is greatly reduced. A Patient's Guide to Dupuytren s Contracture Surgery Compliments of: Rationale What is the goal of surgery? This surgery is the most invasive option and has the longest recovery time. 1 They may be distinguished from each other. Methods. In this prospective study, subjects treated for finger flexion contracture due to Dupuytren’s disease, at the Department of Hand Surgery, Skåne University Hospital, Malmö, Sweden between September 2009 and February 2011, were identified by searching the administrative records for the diagnosis code Dupuytren’s contracture (ICD 10 code M72.0). In addition to contracture resolution, digital edema resolves and inflamed joints become quiescent. The excess collagen formation causes firm collections, called nodules, and string-like collections called cords. When Dupuytren's contracture pulls the fingers into the palm of the hand, the skin can also tighten and contract. Many cases of Dupuytren's contracture progress to the point where surgery is needed. In these cases a skin graft is needed to cover the open wound. 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