Amputation in management of severe Dupuytren’s contracture

Abstract

An 82-year-old male presents with severe Dupuytren’s contracture of his small finger involving his metacarpophalangeal joint (MPJ). He had a substantial flexion contracture of the MPJ up to 80° of flexion deformity (Fig. 17.1). He had intact neurovascular examination. His past medical history was significant for hypertension, obstructive sleep apnea, and multiple hand osteoarthritic joints. Functional limitation urged him to seek a medical consult with Physical Medicine and Rehabilitation and eventually a surgical consult with a hand surgeon.