OCAD MSK

History

78M Ring Finger fracture with deformity

Figure 1 for case Dupuytrens Contracture — Figure 1

Figure 2 for case Dupuytrens Contracture — Figure 2

Figure 3 for case Dupuytrens Contracture — Figure 3

Figure 4 for case Dupuytrens Contracture — Figure 4

Figure 5 for case Dupuytrens Contracture — Figure 5

Discussion

There is a fracture of the ring proximal phalanx with marked PIP flexion deformity. There is grade 1 strain of the flexor tendons, but no focal tear. Slide 2 shows the intact flexor tendons and the dark signal fibrous cord tethering the flexor tendon extending to the subcutantous cord in the palm (see axial images slide 3). In slide 3 you can see a fibrous cord of Dupuytrens also in the index finger. Slide 4-5 shows relatively mild flexion contracture of the IF, with the dark T1 / dark T2 signal fibrous cord extending from the flexor tendon at the middle phalanx toward the palm. Reference article.

Diagnosis

Dupuytrens Contracture

Hilary Umans, MD

Courtesy

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