A 40 yr old diabetic man comes with a complaint of inability to bend his ring finger and development small nodules on the palm.What will be not be a pa of your management in this patient?
This is a condition of Dupuytren's contracture Flexion deformity- because of abnormal fibrosis of palmar aponeurosis leading to cord or nodule formation. M/C cause is Idiopathic MCP>PIP>DIP involved most commonly Ring finger more common than little finger involved Treatment: Conservative by stretching and inj. collagenase When more than 30 degree involved at MCP and more than 15-20 degree at PIP subtotal fasciectomy is done
Wait and watch
When more than 15 degree flexion deformity involved at PIP :Subtotal fasciectomy
When more than 30 degree flexion deformity involved at MCP :Subtotal fasciectomy
Collagenase injection
Neuromuscular disorders