# Raynaud’s Phenomenon After Fasciectomy for Dupuytren’s Contracture: A Case Report

## TL;DR

A man developed Raynaud’s phenomenon in his finger six months after surgery for Dupuytren’s contracture, highlighting a rare delayed complication.

## Contribution

This is the first reported case of Raynaud’s phenomenon following fasciectomy for Dupuytren’s contracture.

## Key findings

- Raynaud’s phenomenon occurred six months post-fasciectomy in a nonsmoking patient with no traditional risk factors.
- Conservative management with cold avoidance effectively controlled symptoms and prevented recurrence.
- The case suggests a potential delayed vascular complication from fasciectomy that surgeons should be aware of.

## Abstract

Open fasciectomy is a widely accepted treatment for Dupuytren’s contracture, with known complications such as vascular and nerve injury, stiffness, and recurrence. However, delayed vascular complications beyond these known risks remain largely unexplored.

A 57-year-old nonsmoking man underwent open fasciectomy for Dupuytren’s contracture of the little finger. Six months postoperatively, he developed Raynaud’s phenomenon in the operated finger, characterized by cold-induced pallor that resolved with rewarming. Examination revealed sluggish circulation in the ulnar digital artery and altered sensation on the ulnar side of the digit. Conservative management with cold avoidance effectively prevented the recurrence of symptoms.

This is the first reported case of Raynaud’s phenomenon following fasciectomy for Dupuytren’s contracture. Surgeons should be aware of this potential delayed complication, particularly in patients without traditional risk factors. Early recognition and patient education on cold avoidance can mitigate symptoms and improve postoperative outcomes.