Surgical management of advanced pachydermodactyly: a case report
Pachydermodactyly is a rare, benign condition characterized by bilateral soft tissue thickening around the proximal interphalangeal joints in the fingers, often due to behaviors like finger cracking. Most cases are managed conservatively; however, surgical intervention may be necessary when conserva...
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Published in | Archives of Hand and Microsurgery Vol. 30; no. 3; pp. 163 - 168 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
대한수부외과학회
01.09.2025
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Subjects | |
Online Access | Get full text |
ISSN | 2586-3290 2586-3533 |
DOI | 10.12790/ahm.25.0011 |
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Abstract | Pachydermodactyly is a rare, benign condition characterized by bilateral soft tissue thickening around the proximal interphalangeal joints in the fingers, often due to behaviors like finger cracking. Most cases are managed conservatively; however, surgical intervention may be necessary when conservative treatments fail. In this case, a 17-year-old male with 5-year persistent thickening on his right second finger underwent conservative treatment, which failed. Due to aesthetic concerns, he opted for surgical excision via bilateral mid-axial incision, preserving neurovascular structures. Histopathology showed increased collagen and fibrosis. Postoperative care included encouragement of finger mobilization and avoidance of cracking habits. After 1 year, the patient was satisfied with the appearance and function, with no recurrence. The case suggests surgical intervention can be effective when conservative methods are unsuccessful, especially for aesthetic or rapid functional improvement. |
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AbstractList | Pachydermodactyly is a rare, benign condition characterized by bilateral soft tissue thickening around the proximal interphalangeal joints in the fingers, often due to behaviors like finger cracking. Most cases are managed conservatively; however, surgical intervention may be necessary when conservative treatments fail. In this case, a 17-year-old male with 5-year persistent thickening on his right second finger underwent conservative treatment, which failed. Due to aesthetic concerns, he opted for surgical excision via bilateral mid-axial incision, preserving neurovascular structures. Histopathology showed increased collagen and fibrosis. Postoperative care included encouragement of finger mobilization and avoidance of cracking habits. After 1 year, the patient was satisfied with the appearance and function, with no recurrence. The case suggests surgical intervention can be effective when conservative methods are unsuccessful, especially for aesthetic or rapid functional improvement. Pachydermodactyly is a rare, benign condition characterized by bilateral soft tissue thickening around the proximal interphalangeal joints in the fingers, often due to behaviors like finger cracking. Most cases are managed conservatively; however, surgical intervention may be necessary when conservative treatments fail. In this case, a 17-year-old male with 5-year persistent thickening on his right second finger underwent conservative treatment, which failed. Due to aesthetic concerns, he opted for surgical excision via bilateral mid-axial incision, preserving neurovascular structures. Histopathology showed increased collagen and fibrosis. Postoperative care included encouragement of finger mobilization and avoidance of cracking habits. After 1 year, the patient was satisfied with the appearance and function, with no recurrence. The case suggests surgical intervention can be effective when conservative methods are unsuccessful, especially for aesthetic or rapid functional improvement. KCI Citation Count: 0 |
Author | Yoon, Yeongsik Chung, Jae In Lee, Hyun Rok |
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Cites_doi | 10.1097/rhu.0b013e318262280b 10.1016/j.jhsa.2016.05.013 10.12790/jkssh.2014.19.4.205 10.1007/s11845-020-02378-1 10.1016/j.jpeds.2009.04.035 10.1155/2015/242078 10.7759/cureus.25802 10.1016/j.jhsa.2016.04.013 |
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Title | Surgical management of advanced pachydermodactyly: a case report |
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