Dorsal Capsulectomy of the Metacarpophalangeal Joints.

Kim, Young Min; Lee, Dong Chul; Kim, Jin Soo; Kim, Seung Hong

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1999;26(5):1001-1006.
Published online September 1, 1999.

Dorsal Capsulectomy of the Metacarpophalangeal Joints.

Young Min Kim, Dong Chul Lee, Jin Soo Kim, Seung Hong Kim

Abstract

Extensor tendon adhesion and joint contracture after crushing injury of the hand are common complications that affect finger motion and hand function. The development of stiff joint can be associated with significant morbidity and had a profound influence on the patient's ability to function. Metacarpophalangeal joint capsulectomy is a surgical procedure used to treat patients with joint stiffness and disabling contractures. Seventeen patients with metacarpophalangeal joint contracture underwent capsulectomy with or without tenolysis from June 1997 to December 1998. The procedures were done after conservative methods had failed. The follow-up period was from 2 to 21 months(mean 12 months). After metacarpophalangeal capsulectomy and immediate postoperative exercise, an average gain of 28 degree of metacarpophalangeal flexion was achieved. In conclusion, when indicated, capsulectomy is a useful procedure for the treatment of contracture of the metacarpophalangeal joint. It is imperative for the treating physician to stress prevention in the form of timely appropriate splintage, early rehabilitation, and aggressive intervention if necessary.