Article

Idiopathic Extension Contracture of the Little Metacarpophalangeal Joint

Department of Orthopedic Surgery, Ewha Womans University, School of Medicine, Seoul, South Korea. Electronic address: .
The Journal of hand surgery (Impact Factor: 1.66). 11/2012; 38A(1). DOI: 10.1016/j.jhsa.2012.08.041
Source: PubMed

ABSTRACT We describe 4 patients with an extension contracture of the little metacarpophalangeal joint without definite cause. We encountered this entity only in adolescent girls. When treated conservatively, we observed no improvements in motion. The main pathology of this entity was a hypertrophied dorsal capsule. The 2 patients treated by surgical release of the fifth dorsal capsule and collateral ligaments achieved considerable flexion 2 years later. (J Hand Surg 2013;38A:133-136. Copyright (C) 2013 by the American Society for Surgery of the Hand. All rights reserved)

0 Followers
 · 
48 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: The stiff finger is a frequently encountered entity in hand surgical practice. It stems from a myriad of causes, may have multiple components, and requires a variety of solutions. A true understanding of the ideal treatments for the stiff finger requires a basic understanding of the local milieu that arises from injury and the anatomic features that are at risk for pathologic changes. Hand surgeons must be able to help patients understand the various factors at play and the time course of wound healing and injury-induced inflammation, because an educated and motivated patient is the best ally in the battle against the stiff finger.
    Hand clinics 05/2010; 26(2):191-204. DOI:10.1016/j.hcl.2010.02.001 · 1.07 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The effectiveness and merits of the dorsal and volar approaches for release of structures contributing to metacarpophalangeal joint stiffness were studied in 61 joints in 23 patients. Seventy-six percent of the joints in the volar group gained greater than 50 degrees passive motion compared to 29% in the dorsal group. Forty-four percent of the joints in the volar group gained greater than 50 degrees active motion compared to 16% in the dorsal group. Discussion of surgical technique and postoperative management reveals that the advantages of the volar approach are most evident during postoperative management, while the main advantage of the dorsal approach is better operative exposure.
    Annals of Plastic Surgery 10/1980; 5(3):178-85. DOI:10.1097/00000637-198009000-00002 · 1.46 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: We selected 500 patients randomly from a total of 1300 patients seen in our Hand Rehabilitation Center between 1971 and 1975; 212 of the 500 presented with a chief complaint of stiff hand joints. Of the 212 patients treated non-operatively, 173 responded sufficiently to this treatment alone. Of the 789 stiff joints, 686 responded sufficiently to this treatment alone. The results of this regime of non-operative treatment of stiff joints provide excellent functional improvement in most patients, with a large saving of money through the reduction in disability payments required.
    Plastic &amp Reconstructive Surgery 02/1978; 61(1):58-63. DOI:10.1097/00006534-197801000-00010 · 3.33 Impact Factor