Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressive, painless thickening of the palmar fascia in the right hand, specifically involving the ring finger. Reports difficulty with full extension of the digit, noting a palpable cord and nodular formation. Denies history of trauma or acute inflammatory symptoms.
Clinical Examination Findings
Physical examination of the right hand reveals a firm, palpable cord extending from the palm to the base of the ring finger. Hueston Tabletop Test is positive. Fixed flexion deformity noted at the metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints of the ring finger. Neurovascular status is intact distally.
Treatment Protocol
Treatment plan includes [Observation / Collagenase Clostridium histolyticum injection / Needle aponeurotomy / Limited fasciectomy]. Patient advised on potential for recurrence and post-procedure splinting requirements. Physical therapy referral for range of motion exercises and scar management.