Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a fixed flexion deformity of the proximal interphalangeal (PIP) joint. Onset noted at [Age/Birth]. Deformity is [progressive/stable]. No history of trauma or inflammatory arthropathy. Functional impairment reported in [ADLs/grasping]. Family history of similar digital anomalies noted as [positive/negative].
Clinical Examination Findings
Physical examination reveals a flexion contracture of the [Digit #] PIP joint. Passive extension is limited by [Degrees]. Skin tension noted at the volar aspect of the joint. No evidence of tendon tethering or bony ankylosis. Neurovascular status is intact distally. Passive range of motion (PROM) vs. Active range of motion (AROM) discrepancy assessed.
Treatment Protocol
Conservative management initiated with dynamic splinting and physical therapy for passive stretching. Surgical intervention planned for [Date] involving [Z-plasty/tendon lengthening/capsulotomy] to address soft tissue contracture. Post-operative protocol includes immediate splinting in extension and serial occupational therapy.