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CASE REPORTS
Year : 2022  |  Volume : 37  |  Issue : 1  |  Page : 18-22

Role of needle aponeurotomy and buddy taping as a natural continuous passive mobilization machine in Dupuytren’s contracture


Sports Injury Centre, VMMC & Safdarjung Hospital, New Delhi, India

Correspondence Address:
Jaswant Kumar
Sports Injury Centre, VMMC & Safdarjung Hospital, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jbjd.jbjd_22_21

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Purpose: Needle aponeurotomy (NA) for Dupuytren’s contracture is gaining popularity and is becoming the standard primary treatment. We present a short series of patients with Dupuytren’s contracture managed by NA and elucidate the augmenting role of buddy taping as a natural anatomic continuous passive motion machine in maintaining the improvement in DASH (Disabilities of the Arm, Shoulder and Hand) scores. Materials and Methods: Four patients (five hands) with Dupuytren’s contracture all of whom were diabetic are included in the short case series. All patients had their contracture released by NA and the operated finger was buddy taped to adjacent finger. Results: The mean age of the patients was 48.75 years. Out of four patients, three had unilateral involvement and one had bilateral involvement of ring finger. The mean flexion contracture at the metacarpophalangeal (MCP) joint was 61°(50°–70°), whereas at PIP joint it was 36° (30°–40°) which improved to mean of 0° and 2° immediately after release and 0° and <5°, respectively, at the final follow-up. The mean DASH score improved from 16.25 to 3.77 at the final follow-up. We did not encounter any neurovascular injury in any of our patients related to the procedure though one patient complained of tingling sensation in all fingers and one patient had 1–2 mm of skin rupture. There was no relapse and no patient required secondary release. Conclusion: Patients with Dupuytren’s contracture released by NA have good clinical results. The mobilization of the taped buddy finger allows early, superior, cost-efficient rehabilitation and prevents relapse. Type of Study/Level of Evidence: Therapeutic IV


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