Advertisement
Surgical technique| Volume 42, ISSUE 5, P395.e1-395.e5, May 2017

Download started.

Ok

Modified McCash Technique for Management of Dupuytren Contracture

Published:March 01, 2017DOI:https://doi.org/10.1016/j.jhsa.2017.01.018
      Despite recent advancements in the nonsurgical treatment for Dupuytren contracture, a number of patients remain poor nonsurgical candidates or elect for surgical management. The traditional McCash technique releases contractures while leaving open palmar wounds. Although successful in alleviating contractures, these wounds are traditionally large, transverse incisions across the palm. A modification of this technique has been performed that permits the surgeon to utilize smaller wounds while eliminating debilitating contractures.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Hand Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. Dupuytren G. De la retraction des doigts par suite d’une affection de l’aponeurosepalmaire Description de la maladie. Operation Chirurgical Equiconvient dans de Cas. J Univ Hebd Med Chirprat. 1831;5:352–365.

        • Dupuytren G.
        Permanent retraction of the fingers produced by an affection of the palmar fascia.
        Lancet. 1834; 2: 222-225
        • McGregor I.
        The Z-plasty in hand surgery.
        J Bone Joint Surg Br. 1967; 49: 448-457
        • Bruner J.M.
        The zig-zag volar-digital incision for flexor-tendon surgery.
        Plast Reconstr Surg. 1967; 40: 571-574
        • McCash C.R.
        The open palm technique in Dupuytren’s contracture.
        Br J Plast Surg. 1964; 17: 271-280
        • Moermans J.P.
        Segmental aponeurectomy in Dupuytren’s disease.
        J Hand Surg Br. 1991; 16: 243-254
        • Lubahn J.D.
        • Lister G.D.
        • Wolfe I.
        Fasciotomy and Dupuytren’s disease: a comparison between the open-palm technique and wound closure.
        J Hand Surg Am. 1984; 9A: 53-58
        • Gelberman R.H.
        • Panagis J.S.
        • Hergenroeder P.
        • Zakaib G.S.
        Wound complications in the surgical management of Dupuytren’s contracture: a comparison of operative incisions.
        Hand. 1982; 14: 248-254
        • Luck J.V.
        Dupuytren’s contracture: a new concept of the pathogenesis correlated with surgical management.
        J Bone Joint Surg Am. 1959; 41-A: 635-664
        • McFarlane R.M.
        Patterns of the diseased fascia in the fingers in Dupuytren’s contracture. Displacement of the neurovascular bundle.
        Plast Reconstr Surg. 1974; 54: 31-44

      Linked Article

      • Erratum
        Journal of Hand SurgeryVol. 42Issue 7
        • Preview
          In the article by Lesiak et al in the May 2017 issue of The Journal of Hand Surgery (“Modified McCash Technique for Management of Dupuytren Contracture”, Vol. 42, No. 5, p. 395.e1-5), the second author’s name was misspelled. The correct spelling is “Nicole J. Jarrett.” The authors regret this error.
        • Full-Text
        • PDF