{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:04:07Z","timestamp":1777853047632,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,9,4]],"date-time":"2015-09-04T00:00:00Z","timestamp":1441324800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:p>Controversy exists regarding intra-operative treatment of residual proximal interphalangeal joint contractures after Dupuytren\u2019s fasciectomy. We test the hypothesis that a simple release of the digital flexor sheath can correct residual fixed flexion contracture after subtotal fasciectomy. We prospectively enrolled 19 patients (22 digits) with Dupuytren\u2019s contracture of the proximal interphalangeal joint. The average pre-operative extension deficit of the proximal interphalangeal joints was 58\u00b0 (range 30\u201390). The flexion contracture of the joint was corrected to an average of 28\u00b0 after fasciectomy. In most digits (20 of 21), subsequent incision of the flexor sheath further corrected the contracture by an average of 23\u00b0, resulting in correction to an average flexion contracture of 4.7\u00b0 (range 0\u201340). Our results support that contracture of the tendon sheath is a contributor to Dupuytren\u2019s contracture of the joint and that sheath release is a simple, low morbidity addition to correct Dupuytren\u2019s contractures of the proximal interphalangeal joint. Additional release of the proximal interphalangeal joint after fasciectomy, after release of the flexor sheath, is not necessary in many patients.<\/jats:p>\n                  <jats:p>Level of Evidence: IV (Case Series, Therapeutic)<\/jats:p>","DOI":"10.1177\/1753193415602189","type":"journal-article","created":{"date-parts":[[2015,9,4]],"date-time":"2015-09-04T21:29:07Z","timestamp":1441402147000},"page":"609-613","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["The quantitative role of flexor sheath incision in correcting Dupuytren proximal interphalangeal joint contractures"],"prefix":"10.1177","volume":"41","author":[{"given":"P. E.","family":"Blazar","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. W.","family":"Floyd","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B. E.","family":"Earp","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,9,4]]},"reference":[{"key":"bibr1-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2004.02.002"},{"key":"bibr2-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(96)80107-0"},{"key":"bibr3-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.05.038"},{"key":"bibr4-1753193415602189","volume-title":"Hand Surgery","author":"Hueston JT","year":"1982"},{"key":"bibr5-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(21)00444-3"},{"key":"bibr6-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182958a33"},{"key":"bibr7-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414535720"},{"key":"bibr8-1753193415602189","volume-title":"Unsatisfactory results in hand surgery","author":"McFarlane RM","year":"1987"},{"key":"bibr9-1753193415602189","first-page":"387","volume-title":"Dupuytren\u2019s disease","author":"McFarlane RM","year":"1990","edition":"5"},{"key":"bibr10-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.11.015"},{"key":"bibr11-1753193415602189","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200701000-00026"},{"key":"bibr12-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(09)91084-X"},{"key":"bibr13-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(85)80262-8"},{"key":"bibr14-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1177\/17531934097321"},{"key":"bibr15-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1177\/1753193413502161"},{"key":"bibr16-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681_85_80062-0"},{"key":"bibr17-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(79)80107-0"},{"key":"bibr18-1753193415602189","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199603000-00011"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193415602189","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753193415602189","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753193415602189","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:47:16Z","timestamp":1777502836000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753193415602189"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,9,4]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1177\/1753193415602189"],"URL":"https:\/\/doi.org\/10.1177\/1753193415602189","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,9,4]]}}}