Central slip attenuation in Dupuytren's contracture: a cause of persistent ³

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flexion of the proximal interphalangeal joint. Á Smith P. Breed C. Journal of Hand Surgery - American Volume. 19(5):840-3, 1994 Sep. This paper stresses the importance of central slip attenuation in the management of Dupuytren's contracture. Such attenuation occurs in patients * who have had prolonged proximal interphalangeal joint contractures and is a common problem when the flexion contracture exceeds 60 degrees. The diagnosis can be made at the time of surgical correction by a tenodesis test. If central slip attenuation is confirmed, the postoperative regime Á described here will give a better correction of what at first might appear to be an intractable proximal interphalangeal joint flexion deformity. *