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In testing for intrinsic tightness, the amount of PIP and DIP joint passive flexion will be decreased when the MCP is held in extension. The intrinsics are flexors of the MCP joints and extensors ...
On examination, he had extensor lags of 7° at the ring finger MCP joint and 10° at the small finger proximal interphalangeal (PIP) joint and limited small finger PIP joint flexion from 10° to 30°.
Surgical intervention is recommended for contractures exceeding 30˚ of flexion at the PIP joint, 20˚ of flexion at the MCP joint, or for patients with diminished hand function that interferes ...
This included a 13.6% recurrence rate for MP joint contractures and a 34.1% recurrence rate for PIP joint contracture. Dr. Badalamente emphasized that surgery, needle fasciotomy, or collagenase ...
1. Physical examination. At the initial visit, Mr. H was alert and oriented. BP was 120/78 mm Hg, pulse 98 beats per minute, pulse oxygenation 97%, temperature 98.8˚F, and weight 290 lbs.