41. There he advocated a surgical process known as " tenotomy " to correct contracture abnormalities of the extremities. 42. It is usually the choice of procedure for patients who have a flexion contractures greater than 45 degrees. 43. Surgery could be required for a tendon release in the case of a severe muscle imbalance leading to contracture . 44. Late effects of arthritis include joint contracture ( stiff, bent joint due to fibrosis ) and joint damage. 45. Various interventions can slow, stop, or even reverse muscle contractures , ranging from physical therapy to surgery. 46. Achilles tendon lengthening ( heel-cord release ) and physical therapy can be helpful for treating equinus contracture . 47. In a MCP joint contracture the needle must be placed at the point of maximum bowstringing of the palpable cord. 48. As they get older, they usually develop joint deformities called contractures , which restrict the movement of certain joints. 49. Melorheostosis can be associated with pain, physical deformity, skin and circulation problems, contractures , and functional limitation. 50. It enables complex procedures such as for Dupuytren's contracture to be performed as outpatient procedures under local anaesthesia.
