Abstract
The PIP joint is at the heart of hand function. A good range of motion at this joint gives good function even in the presence of metacarpophalangeal joint contractures. It is often affected by Dupuytren’s contractures due to digital fascial involvement and its correction is the key to good hand function – yet can be most difficult to achieve.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Breed PM, Smith PJ (1996) A comparison of methods of treatment of PIP joint contractures in Dupuytrens disease. J Hand Surg [Br] 21(2):246–251
Field PL, Hueston JT (1970) Articular cartilage loss in longstanding flexion deformity of the proximal interphalangeal joint. Aust NZ J Surg 40:70–74
McCash CR (1964) The open palm technique in Dupuytrens contracture. Br J Plast Surg 17:21
McFarlane RM (1974) Pattern of the diseased fascia in the fingers in Dupuytrens contracture. Plast Reconstr Surg 54:31–37
Short WH, Watson HK (1982) Prediction of the spiral nerve in Dupuytren’s contracture. J Hand Surg Am 7:84
Skoog T (1948) Dupuytrens contraction with special reference to aetiology and improved surgical treatments, its occurrence in epileptics. Note on knuckle pads. Acta Chir Scand 96(suppl 139):1–190
Smith PJ (2002) Dupuytren’s disease. In: Smith PJ (ed) Lister’s the hand, 4th edn. Churchill Livingston, London
Smith PJ, Ross DA (1994) The central slip tendosis test for early diagnosis of potential boutonniere deformities. J Hand Surg Br 19(1):88–90
Tonkin MA, Burke FD, Varian JPW (1985) The proximal interphalangeal joint in Dupuytrens disease. J Hand Surg 10B:358–364
Watson HK, Fong D (1991) Dystrophy, recurrence, and salvage procedures in Dupuytren’s contracture. Hand Clin 7(4):745–755
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Smith, P. (2012). A Logical Approach to Release of the Contracted Proximal Interphalangeal Joint in Dupuytren’s Disease. In: Eaton, C., Seegenschmiedt, M., Bayat, A., Gabbiani, G., Werker, P., Wach, W. (eds) Dupuytren’s Disease and Related Hyperproliferative Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22697-7_30
Download citation
DOI: https://doi.org/10.1007/978-3-642-22697-7_30
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-22696-0
Online ISBN: 978-3-642-22697-7
eBook Packages: MedicineMedicine (R0)