Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressive flexion deformity of the left small finger. Reports palpable nodules and thickening in the palmar aspect of the hand, leading to difficulty with full extension and functional impairment in daily activities. Denies history of acute trauma.
Clinical Examination Findings
Examination of the left hand reveals a palpable, firm cord extending into the small finger. Fixed flexion contracture of the MCP and PIP joints noted. Skin shows characteristic dimpling and tethering over the palmar fascia. Neurovascular status intact; distal sensation and capillary refill normal.
Treatment Protocol
Treatment plan includes options for collagenase clostridium histolyticum injection, needle aponeurotomy, or limited fasciectomy depending on contracture severity. Physical therapy referral for splinting and range of motion exercises post-intervention.