Recurrent Refractory Non-Dupuytren Contracture in Females After Limited Fasciectomy

Non-Dupuytren's contracture, a cord-like structure formed because of trauma or surgery, rarely requires surgery. An 81-year-old woman underwent flexor tendon sheath release for right middle finger snapping and flexor tenolysis for postoperative complications. At the referral, a cord existed between the base of the middle finger and the mid-palm, and a 50° extension deficit of the metacarpophalangeal joint was noted. We performed a third operation. Limited fasciectomy could not achieve full extension; therefore, flexor tenolysis and joint mobilization were additionally performed intraoperatively. Early range of motion exercises were initiated; however, the patient underwent reoperation due to recurrence. Although the cord and bowstringing flexor digitorum superficialis tendon were excised, the flexion contracture remained. Hence, resection of the volar capsule was added intraoperatively. Nevertheless, the flexion contracture recurred. In planning surgery for a patient with non-Dupuytren contracture, considering the possibility of recurrence may be necessary.