Technique of Dynamic Flexor Digitorum Superficialis Transfer to Lateral Bands for Proximal Interphalangeal Joint Deformity Correction in Severe Dupuytren Disease

Michael J Schreck; Hayden S Holbrook; L Andrew Koman

doi:10.1016/j.jhsa.2017.11.010

Technique of Dynamic Flexor Digitorum Superficialis Transfer to Lateral Bands for Proximal Interphalangeal Joint Deformity Correction in Severe Dupuytren Disease

J Hand Surg Am. 2018 Feb;43(2):192.e1-192.e6. doi: 10.1016/j.jhsa.2017.11.010.

Authors

Michael J Schreck¹, Hayden S Holbrook², L Andrew Koman²

Affiliations

¹ Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC. Electronic address: [email protected].
² Department of Orthopaedic Surgery, Wake Forest School of Medicine, Winston-Salem, NC.

PMID: 29421069
DOI: 10.1016/j.jhsa.2017.11.010

Abstract

Pseudo-boutonniere deformity is an uncommon complication from long-standing proximal interphalangeal (PIP) joint contracture in Dupuytren disease. Prolonged flexion contracture of the PIP joint can lead to central slip attenuation and resultant imbalances in the extensor mechanism. We present a technique of flexor digitorum superficialis (FDS) tendon transfer to the lateral bands to correct pseudo-boutonniere deformity at the time of palmar fasciectomy for the treatment of Dupuytren disease. The FDS tendon is transferred from volar to dorsal through the lumbrical canal and sutured into the dorsally mobilized lateral bands. This technique presents an approach to the repair of pseudo-boutonniere deformity in Dupuytren disease.

Keywords: Dupuytren disease; boutonniere deformity; tendon transfer.

MeSH terms

Dupuytren Contracture / complications
Dupuytren Contracture / surgery*
Fasciotomy
Finger Joint / surgery*
Hand Deformities, Acquired / etiology
Hand Deformities, Acquired / surgery*
Humans
Severity of Illness Index
Tendon Transfer / methods*