Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive palmar thickening and digital contracture. Reports gradual onset of nodules and cords in the palm, leading to restricted extension of the [digit(s)] and functional impairment in activities of daily living. Denies history of acute trauma or infection.
Clinical Examination Findings
Physical examination reveals palpable, firm subcutaneous nodules and longitudinal cords extending into the [digit(s)]. Hueston’s tabletop test is positive. Digital extension deficit measured at [X] degrees at the MCP/PIP joint. Neurovascular status is intact distally. Skin integrity is preserved with no signs of acute inflammation.
Treatment Protocol
Treatment plan discussed: [Observation / Collagenase Clostridium histolyticum injection / Needle aponeurotomy / Limited fasciectomy]. Risks, benefits, and potential for recurrence explained. Post-operative care involves splinting, wound care, and early range-of-motion physiotherapy.