Knuckle pads causing extensor tendon tethering.
نویسنده
چکیده
A case of Dupuytren's contracture is described, in which, both clinically and histologically, knuckle pad lesions involved the extensor tendons. Surgical excision of the Dupuytren's tissue from the dorsal aspect of the proximal interphalangeal joints, freeing of the lateral extensor slips and posterior capsulotomy resulted in marked functional improvement.
منابع مشابه
Report of a family with idiopathic knuckle pads and review of idiopathic and disease-associated knuckle pads.
Knuckle pads are a rare, frequently overlooked, thickening of the skin usually overlying the extensor surface of the proximal interphalangeal joints. They are well- circumscribed, benign lesions that generally do not require treatment. Idiopathic knuckle pads must be differentiated from similar appearing lesions or trauma-induced pseudo-knuckle pads. Knuckle pads have been observed in associati...
متن کاملRheumatoid nodules: the importance of a correct differential diagnosis.
Knuckle pads is a syndrome characterized by the presence of multiple nodules located on the extensor side of the interphalangeal or metacarpophalangeal joints. Several conditions can be confused with Knuckle pads. We describe a case of a 47-years-old man who developed multiple bilateral roundish nodules located in the skin over the dorsal and lateral interphalangeal joints in both hands.
متن کاملKnuckle pads in children.
Knuckle pads occur from benign thickening of the skin, principally the epidermis, and are occasionally seen in children. Despite the name, knuckle pads most commonly overlie the proximal interphalangeal joints. They must be differentiated from a variety of other cutaneous abnormalities. There is no consistently effective treatment, but knuckle pads have been reported to resolve spontaneously in...
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We report two cases of extensor pollicis longus tendon tethering following K-wire insertion to treat unstable distal radius fractures, an unusual complication. In both cases, extensor pollicis longus function returned with conservative management. The structures considered "at risk" during K-wire insertion are described, and the common complications are discussed. Operative approaches to minimi...
متن کاملKnuckle pads.
Knuckle pads are well circumscribed thickenings of the skin over the metacarpophalangeal and, more commonly, the proximal interphalangeal joints. Although the association with several other clinical syndromes including Dupuytren's disease is well documented, most cases are idiopathic. We present a case of knuckle pads and briefly review the history and course of this disease.
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 66 1 شماره
صفحات -
تاریخ انتشار 1984