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Case studies are posted regularly and the moderators response follows a few days after a case is posted. Please feel free to post your ideas we may find you have a better answer than the moderator!

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A Lucky Day - 5/11/2010
A 61 year old male is post/op dupuytren’s contracture for the little finger PIPJ.

1. What are your expectations
2. What is your ROM goal?


Moderators Response:
While MPJ contractures are expected to have complete correction regardless of contracture or surgical correction, PIPJ corrections are not as favorable.
Less than 25% of PIPJ contractures are fully corrected. The PIPJ of the little finger is the most difficult to fully correct and over 75% of the time full extension is not obtained regardless of the severity of the contracture or the method of treatment. Your ROM goal is to achieve full flexion.
 
Name:
Comment:
 
5/20/2010
Anonymous
Depends on the intra operative ROM achieved by MD. With nightime splinting for about 6 months hopefully he will have lack less than 20 of full extension
6/7/2010
Anonymous
Full flexion of the small finger. Probably not full ext. of the small finger at the IP joint.
11/12/2011
Anonymous
painful, edema. ROM will be AROM
 
     
   
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