DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20205332

Limited fasciotomy in dupuytren contracture: a case report

Kadek Gede Bakta Giri, Made Bramantya Karna, Anak Agung Gde Yuda Asmara, Putu Feryawan Meregawa

Abstract


Dupuytren's disease is a benign fibroproliferative disorder usually isolated affects the palmar fascia. The condition usually has a progressive course, from the appearance of a nodule, to the formation of a fibrous cord which pulls the finger in a flexion posture. Management from dupuytren's disease has developed, from conservatifly, surgery, and minimal invasive. One of the conventional treatments that can be done is fasciotomy. A man, 72 years old, an Australian patient with Dupuytren's disease that affects his 4th MCP joint. From the history it was found that the complaint had been felt since 8 years ago. Patients were do limited fasciotomy and get recovered his hand function with good result. Dupuytren's disease is a disorder of the palmar and digital fascia that can decrease the function of patient hands. Many therapies have been developed for the treatment of this disease. From conventional treatments such as fasciotomy, to minimal invasive such as the injection of clostridium histolyticum collagenase. All of these therapies give different results and side effects. We would like to say that conventional management, especially limited fasciotomy, is still a good choice in view of the return of hand function and the minimum side effects. Limited fasciotomy gives good results, fast recovery of hand function, with minimal side effects.


Keywords


Dupuytren contracture, Metacarpophalangeal joints, Limited fasciotomy

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References


Street M, Puna R, Huang M, Crawford H. Pediatric acute hematogenous osteomyelitis. J Pediat Orthopaed. 2015;35(6):634-9.

Hatzenbuehler J, Pulling TJ. Diagnosis and management of osteomyelitis. Am Fam Phys. 2011.

Trueta J. The three types of acute haematogenous osteomyelitis: a clinical and vascular study. J Bo Join Surg. 1959 ;41(4):671-80.

Gholve PA, Scher DM, Khakharia S, Widmann RF, Green DW. Osgood schlatter syndrome. Curr Opin Pediat. 2007;19(1):44-50.

Nührenbörger C, Gaulrapp H. Morbus Osgood Schlatter. Spor Orthopaed Traumatol. 2018;34(4):393-5.

Yamagishi Y, Togawa M, Shiomi M. Septic arthritis and acute hematogenous osteomyelitis in childhood at a tertiary hospital in Japan. Pediat Int. 2009;51(3):371-6.

Birt MC, Anderson DW, Toby EB, Wang J. Osteomyelitis: recent advances in pathophysiology and therapeutic strategies. J Orthopaed. 2017;14(1):45-52.

Fritz JM, McDonald JR. Osteomyelitis: approach to diagnosis and treatment. Phys Sport Medic. 2008;36(1):50-4.

Ezra E, Cohen N, Segev E, Hayek S, Lokiec F, Keret D, et al. Primary subacute epiphyseal osteomyelitis: role of conservative treatment. J Pediat Orthopaed. 2002;22(3):333-7.

Sharma P, Maffulli N. Biology of tendon injury: healing, modeling and remodeling. J Musculoske Neuron Interact. 2006;6(2):181.