Clostridial collagenase injections in the treatment of Dupuytren’s contracture

Abstract

An 84-year-old right-hand dominant man, previously engineer, showed up in the clinic and asked for advice for treatment of his flexed fingers. He was being treated for hypertension, was on salicylic acid, and had twice been in surgery due to a colon cancer. Following the last surgery 4 years ago, the follow-ups had shown no signs of recurrence of his cancer. His current problem was his right hand. He was no longer able to shake hands with people, he had problems grasping an object, and the fingers “were in the way." The flexed position of his fingers had gradually progressed during the last 2 years. He was familiar with the condition as he had seen several other family members with a somewhat similar appearance of their hands, and he had been surfing the Internet looking for different possibilities for treatment.