Case report: sickle cell microembolism—a purported cause of extreme DIPJ fixed flexion deformity?

Case report: sickle cell microembolism—a purported cause of extreme DIPJ fixed flexion deformity? The authors present a unique case of extreme distal interphalangeal joint flexion contracture in a 21-year-old gentleman. Although asymptomatic, he was concerned about the cosmesis, which prompted his attendance. With no history of trauma or other medical conditions, he reported a family history of sickle cell trait, although was sickle cell negative himself. This case illustrates that particularly in patients who may be affected by blood dyscrasias (southeast Asian, Mediterranean and African) a ‘medical’ diagnosis for clinical presentations which may not quite fit with the day to day clinical workload for a hand surgeon should be borne in mind. Some blood dyscrasias affect surgical outcomes as well anaesthetic safety for patients and taking a thorough history where possible is crucial and can also affect the postoperative outcome. Level of Evidence: Level V, diagnostic study. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Case report: sickle cell microembolism—a purported cause of extreme DIPJ fixed flexion deformity?

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Publisher
Springer Journals
Copyright
Copyright © 2014 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-013-0896-2
Publisher site
See Article on Publisher Site

Abstract

The authors present a unique case of extreme distal interphalangeal joint flexion contracture in a 21-year-old gentleman. Although asymptomatic, he was concerned about the cosmesis, which prompted his attendance. With no history of trauma or other medical conditions, he reported a family history of sickle cell trait, although was sickle cell negative himself. This case illustrates that particularly in patients who may be affected by blood dyscrasias (southeast Asian, Mediterranean and African) a ‘medical’ diagnosis for clinical presentations which may not quite fit with the day to day clinical workload for a hand surgeon should be borne in mind. Some blood dyscrasias affect surgical outcomes as well anaesthetic safety for patients and taking a thorough history where possible is crucial and can also affect the postoperative outcome. Level of Evidence: Level V, diagnostic study.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Mar 1, 2014

References

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