Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressive flexion deformity of the left hand, noting the development of palpable subcutaneous nodules and cords in the palmar fascia. Symptoms include restricted digital extension, difficulty with activities of daily living, and occasional localized tenderness. No history of acute trauma or recent infection.
Clinical Examination Findings
Left hand examination reveals palpable, firm, cord-like thickening of the palmar fascia extending to the [Digit] ray. Hueston tabletop test is positive. Digital extension is limited by [Degree] degrees at the MCP/PIP joint. No neurovascular deficits noted; distal perfusion is intact. Skin integrity is maintained over the contracture.
Treatment Protocol
Treatment plan includes [Observation / Collagenase Clostridium Histolyticum injection / Needle aponeurotomy / Limited fasciectomy]. Post-procedure management involves splinting, aggressive hand therapy, and scar tissue mobilization to maintain range of motion and prevent recurrence.