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Updated: May 16, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
Idiopathic extension contracture of the little metacarpophalangeal joint
Jae Kwang Kim1, Hyung-Mook Lim
1Department of Orthopedic Surgery, Ewha Womans University, School of Medicine, Seoul, South Korea. kimjk@ewha.ac.kr
Abstract:
We describe 4 patients with an extension contracture of the little metacarpophalangeal joint without definite cause. We encountered this entity only in adolescent girls. When treated conservatively, we observed no improvements in motion. The main pathology of this entity was a hypertrophied dorsal capsule. The 2 patients treated by surgical release of the fifth dorsal capsule and collateral ligaments achieved considerable flexion 2 years later.
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