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Intrinsic Contracture of the Hand: Diagnosis and Management
Journal article   Peer reviewed

Intrinsic Contracture of the Hand: Diagnosis and Management

Rick Tosti, Joseph J. Thoder and Asif M. Ilyas
Journal of the American Academy of Orthopaedic Surgeons, v 21(10), pp 581-591
01 Oct 2013
DOI: https://doi.org/10.5435/JAAOS-21-10-581
PMID: 24084432
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Life Sciences & Biomedicine Orthopedics Science & Technology Surgery
Intrinsic contracture of the hand may result from trauma, spasticity, ischemia, rheumatologic disorders, or iatrogenic causes. In severe cases, the hand assumes a posture with hyperflexed metacarpophalangeal joints and hyperextended proximal interphalangeal joints as the contracted interossei and lumbrical muscles deform the natural cascade of the fingers. Considerable disability may result because weakness in grip strength, difficulty with grasping larger objects, and troubles with maintenance of hygiene commonly encumber patients. Generally, the diagnosis is made via history and physical examination, but adjunctive imaging, rheumatologic testing, and electromyography may aid in determining the underlying cause or assessing the severity. Nonsurgical management may be appropriate in mild cases and consists of occupational therapy, orthoses, and botulinum toxin injections. The options for surgical management are diverse and dictated by the cause and severity of contracture.

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4 Record Views
14 citations in Web of Science
11 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Orthopedics
Surgery
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