title: Central slip attenuation in Dupuytren's contracture: a cause of persistent flexion of the proximal interphalangeal joint.
abstract: This paper stresses the importance of central slip attenuation in the management of Dupuytren's contracture. Such attenuation occurs in patients who have had prolonged proximal interphalangeal joint contractures and is a common problem when the flexion contracture exceeds 60 degrees. The diagnosis can be made at the time of surgical correction by a tenodesis test. If central slip attenuation is confirmed, the postoperative regime described here will give a better correction of what at first might appear to be an intractable proximal interphalangeal joint flexion deformity.
authors: Mount Vernon Hospital, Northwood, Middlesex, United Kingdom.
authors: P
authors: P
authors: Smith
authors: C
authors: C
authors: Breed
mesh_terms: D004387:Dupuytren Contracture / Q000150:complications* / Q000601:surgery; D005384:Finger Joint / Q000601:surgery; D005385:Fingers / Q000601:surgery; D006801:Humans; D016916:Joint Deformities, Acquired / Q000209:etiology* / Q000601:surgery