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.
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