Olgu Sunumları Eşliğinde Palmar Fibromatozis Değerlendirimi ve Tedavisi

Palmar fibromatosis is a hard nodule on the base of the finger that runs through both sides of distal palmar line. We come across this condition quite often in our geriatrics clinic, yet it is usually overlooked because it does not cause any pain, even though with proper care and treatment patient’s functional limits can increase significantly. In the study, 3 patients came to our clinic with limited mobility complaint on their fingers. First case, an 82-year old male patient, had this complaint on his right hand’s 4th finger for over a year. Second case was a 68-year old male patient with the same complaint on his left hand’s 3rd finger for 15 years and finally, third case was an 85-year old female patient with complaint on her left hand’s 4th and 5th fingers for 30 years. Finger goniometry results for joint movement range were 0-80 degrees in 4th metacarpophalangeal (MCP) joint in the first case, 0-60 degrees in left 3rd MCP joint in second case and 0-40 degrees in left 4th MCP joint, 0-80 degrees in proximal interphalangeal joint, 0-40 degrees in 5th MCP joint and 0-90 in proximal interphalangeal joint on third case. All patients were diagnosed with idiopathic palmar fibromatosis and given physical therapy programs. The cases with hypointense lesions, seen on both T1 and T2 weighted MRI slices, were referred to surgery. Our main purpose in this presentation is to review PF diagnosis and treatment as physiatrists. (Turkish Journal of Osteoporosis 2013;19: 52-5)