Experience with peritendinous fibrosis of the dorsum of the hand.
Fifteen patients with a diagnosis of peritendinous fibrosis of the dorsum of the hand (Secretan's disease) were treated between 1958 and 1980. Thirteen patients had excision of a dorsal fibroma with extensor tendolysis when necessary. Preoperative findings included a hard dorsal mass and limitation of motion. Postoperative courses were characterized by prolonged periods of rehabilitation and recurrent episodes of swelling. Twelve of 15 patients returned to work 3 to 30 months postoperatively. Permanent disability was substantial. None of these patients had significant wound healing problems, and all had improved range of motion. The question of self-inflicted injury was raised in five cases but could not be demonstrated.
D000062:Accidents, Occupational; D000328:Adult; D005260:Female; D005350:Fibroma / Q000601:surgery*; D006225:Hand / Q000601:surgery; D006230:Hand Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012652:Self Mutilation / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D013710:Tendons / Q000601:surgery