Intrinsic Plus Contracture of the Hand

A hand flexion contracture with progression.

A 65 year old male retired farmer presented with an inability to fully straighten the ring finger and little finger of his right hand. This had progressed over the past two years and he had recently noticed a “rope like” swelling in his palm. He had no history of trauma and no medical history of note, except that he had smoked until 10 years earlier and had a 90 pack year history. His father ha...

Strength measurements of the intrinsic hand muscles: a review of the development and evaluation of the Rotterdam intrinsic hand myometer.

Numerous neurological diseases are accompanied by atrophy of the intrinsic muscles of the hand. Muscle strength testing of these muscles is frequently used for clinical decision making. Traditionally, these strength measurements have focused on manual muscle testing (MMT) or on grip and pinch strength dynamometry. We have developed a hand-held dynamometer, the Rotterdam Intrinsic Hand Myometer ...

Dupuytren’s contracture due to hand-transmitted vibration - CM8860 May 2014

Dupuytren's contracture and occupational exposure to hand-transmitted vibration

AIMS The relation between Dupuytren's contracture and occupational exposure to hand-transmitted vibration (HTV) has frequently been debated. We explored associations in a representative national sample of workers with well-characterised exposure to HTV. METHODS We mailed a questionnaire to 21 201 subjects aged 16-64 years, selected at random from the age-sex registers of 34 general practices ...

Dupuytren's contracture following burn injury of the hand: A case report and review of literature.

In burn patients, scar contractures adjacent to or across the joints lead to disabling deformities. In Dupuytren's disease, the proliferative process involves the fascia of the palm and fingers, resulting in disabling flexion contractures of the fingers and the palm. A single insult involving the hand or even a more proximal injury may lead to Dupuytren's disease.