PMC9769080_01
Presentation with Dupuytren's contracture measuring -90  PIPJ and -35  DIPJ loss of extension.
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f1
A previously untreated seventy-two-year-old male patient had right little finger DC extension/flexion measurements of 0/100 at the MCPJ, -90/100 at the PIPJ, and -35/65 at the DIPJ, total active motion TAM of 140 degrees; a Tubiana Stage III disease (Figures 1,2).
Lateral view at 53 months showing -30  PIPJ contracture with full extension of the DIPJ and MCPJ.
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f3
The following measurements were noted at four years and five months of follow-up; MCPJ 0/100, PIPJ -30/105, a 66.7% improvement, 0/60 DIPJ, a 100% improvement, and a TAM of 240, a 71.4% improvement (Figures 3 and 4).
The appearance of full extension with a residual -30  PIPJ contracture. He maintained full flexion at 53 months.
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f4
The following measurements were noted at four years and five months of follow-up; MCPJ 0/100, PIPJ -30/105, a 66.7% improvement, 0/60 DIPJ, a 100% improvement, and a TAM of 240, a 71.4% improvement (Figures 3 and 4).