The Long-Term Results of Closed Palmar Fasciotomy in the Management of Dupuytren’s Contracture

Abstract

Twenty-three patients were reviewed an average of 5.3 years after a closed palmar fasciotomy for the correction of Dupuytren’s contracture. Results suggest that this procedure is best suited to those whose contracture is mainly at the MP joint and that approximately 55% of such patients can expect the correction to be maintained for at least five years. In those patients with severe deformity affecting the PIP joint in addition to the MP joint, this may be a useful preliminary procedure, but is unlikely to be of any long term benefit.

A Simple Physical Exam Maneuver to Distinguish Trigger Digit, Dupuytren’s Nodule, and Flexor Sheath Ganglion

“…[4][5][6][7] Pathologically, Dupuytren's is a disease of the palmar fascia presenting as a formation of fibromatous nodules and cords that can result in flexion contracture and decreased hand function. [8][9][10][11][12] The most common lumps encountered in the hand and wrist region are ganglion cysts. 13 Although the pathology is not completely clear, they are thought to represent outpouching of synovial membranes of joints and tendon sheaths.…”

“…4 -7 Pathologically, Dupuytren’s is a disease of the palmar fascia presenting as a formation of fibromatous nodules and cords that can result in flexion contracture and decreased hand function. 8 -12…”