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Journal of Hand Surgery (British and European Volume)
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Articles

Intramuscular Tenotomy of Flexor Digitorum Superficialis in the Distal Forearm After Surgical Excision of Dupuytren’s Disease

V. BARR
R. BHATIA
P. HAWKINS
R. SAVAGE

From the Department of Trauma and Orthopaedics, Royal Gwent Hospital, Cardiff Road, Newport, Gwent NP9 2UB, UK

Correspondence: Miss V. Barr, 77, Lisvane Street, Cathays, Cardiff CF24 4LJ, UK. Tel.: +44-29 20371703; Mobile: 07989195102; E-mail: vicks{at}barrv.freeserve.co.uk

Contracture of the proximal interphalangeal joint after surgery to excise Dupuytren’s disease, despite release of the contributory structures within the finger, can be caused by flexor digitorum superficialis (FDS) contracture. We describe five cases where FDS contracture was released by intramuscular tenotomy in the distal forearm. Standard postoperative therapy for Dupuytren’s fasciectomy was used and clinical review showed improved finger extension with no loss of strength. We suggest that intramuscular tenotomy of FDS in the forearm can be used safely where indicated after excision of the Dupuytren’s disease.

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 1, 37-39 (2003)
DOI: 10.1054/JHSB.2002.0860


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