Raynaud's Phenomenon After Fasciectomy for Dupuytren's Contracture: A Case Report

Open fasciectomy is a widely accepted treatment for Dupuytren's contracture, with known complications such as vascular and nerve injury, stiffness, and recurrence. However, delayed vascular complications beyond these known risks remain largely unexplored. A 57-year-old nonsmoking man underwent open fasciectomy for Dupuytren's contracture of the little finger. Six months postoperatively, he developed Raynaud's phenomenon in the operated finger, characterized by cold-induced pallor that resolved with rewarming. Examination revealed sluggish circulation in the ulnar digital artery and altered sensation on the ulnar side of the digit. Conservative management with cold avoidance effectively prevented the recurrence of symptoms. This is the first reported case of Raynaud's phenomenon following fasciectomy for Dupuytren's contracture. Surgeons should be aware of this potential delayed complication, particularly in patients without traditional risk factors. Early recognition and patient education on cold avoidance can mitigate symptoms and improve postoperative outcomes.