Unlike proximal interphalangeal joint contractures from Dupuytren’s, metacarpophalangeal joint contractures usually respond so well to fasciectomy or fasciotomy that joint capsule or ligament release is generally not a consideration. Because of this, I was intrigued by the title of this report: a series of patients treated with dermofasciectomy and MP joint release – it’s an unusual combination. What I found instead was that the original report must have been lost in translation: the text describes fasciectomy but calls it dermofasciectomy; the pictures show a mix of proximal interphalangeal joint and metacarpopalangeal joint contractures; the statistical analysis reports 1/25 as 2.5% instead of 4% in reporting complications. Reinterpreted along these lines, the results are similar to previous reports of fasciectomy and proximal interphalangeal joint release, which is apparently what this report actually describes. http://www.dupuytrenfoundation.org/DupPDFs/2003_Saleh.pdf
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