A Man With Shrinking Fingers

Chris D. Tzarnas, MD; Carl H. Manstein, MD, MBA

Disclosures

October 01, 2015

Clinical Presentation: Contracture of the Thumb

A 66-year-old man of Eastern European ancestry presents with Fitzpatrick skin type II. He is of excellent health, does not smoke or drink, and eats a vegetarian diet. He is an avid runner, and recently had a colonoscopy that was negative. Relevant medical history includes:

  • 2006: Surgical removal of nasal polyps

  • 2008: Orthopedic procedure for stress fracture of right foot

  • 2010: Excision of squamous cell carcinoma in situ of right lower lip

  • 2012: Release of trigger of right thumb

  • 2014: Release of trigger of left thumb

In 2009 he underwent an operation on the palmar surface of his left hand at the level of the metacarpophalangeal joint of the small finger. The operation was performed because of a "thickening" and nodular formation of the skin on the palm, making it difficult for him to extend his left small finger. This was very annoying to him because he has been studying classical piano for many years as an adult.

Figures 1-3. Patient's left hand at most recent examination.

Figure 1.

Figure 2.

Figure 3.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....