Document Detail


Severe contractures of the proximal interphalangeal joint in Dupuytren's disease: results of a prospective trial of operative correction and dynamic extension splinting.
MedLine Citation:
PMID:  1430959     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a prospective study, 23 proximal interphalangeal joints that were severely contracted (> or = 45 degrees) as a result of Dupuytren's disease underwent operative correction and 6 months of dynamic extension splinting. Proximal interphalangeal joint extension was measured preoperatively and postoperatively at 3-month intervals for 1 year and at 6-month intervals thereafter. Mean follow-up was 2 years (minimum, 1 year). Overall, at 2 years, 44% improvement in proximal interphalangeal joint extension was noted. Mean improvement of 59% in proximal interphalangeal joint extension was noted in patients who complied with the postoperative dynamic extension splinting program. Patients who were noncomplaint demonstrated a 25% improvement in proximal interphalangeal joint extension. The difference in values between patients who were compliant and those who were not was statistically significant. Other factors--severity of contracture, digit involved, and the necessity for capsular release--were not significantly related to outcome. This study suggests that soft tissue responds to continuous dynamic extension stresses and can be remodeled over time.
Authors:
K Rives; R Gelberman; B Smith; K Carney
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  17     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1992 Nov 
Date Detail:
Created Date:  1992-12-03     Completed Date:  1992-12-03     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1153-9     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston 02114.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Dupuytren Contracture / physiopathology,  rehabilitation,  surgery*
Female
Finger Joint*
Follow-Up Studies
Humans
Male
Middle Aged
Patient Compliance
Prospective Studies
Range of Motion, Articular
Severity of Illness Index
Splints / standards*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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