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Manipulation at 48 hours post-collagenase, following anesthetic administration Peimer, Clayton A. 2014

This shows injection technique for rare inter-phalangeal cords in this little finger Peimer, Clayton A. 2014

Collagenase enzyme was injected into the interconnecting fourth and fifth ray plus the independent abductor cord in the little finger Peimer, Clayton A. 2014

At 48 hours after enzyme injection and administration of anesthetic, the manipulation video illustrates the extension maneuvers needed for correction required for these 2 digits Peimer, Clayton A. 2014

Injection of the interconnecting fourth and fifth ray cords is seen using slightly increased diluent volume Peimer, Clayton A. 2014

At 48 hours post-collagenase finger manipulation was performed after anesthetic injection. Considerable pull was needed–as can be seen and heard–to achieve correction Peimer, Clayton A. 2014

This shows injection technique beginning with the ring finger because – although the little was more of a bother to him – it was not possible to get to those cords with the ring in the way Peimer, Clayton A. 2014

At 48 hours post-collagenase, finger manipulation was performed after anesthetic injection Peimer, Clayton A. 2014

This shows post-anesthetic manipulation at 48 hours after enzyme injection Peimer, Clayton A. 2014

The manipulation was done at 48 hours, after anesthetic administration Peimer, Clayton A. 2014

Manipulation after anesthetic administration at 48 hours produced correction for both the fourth and fifth rays along with a small distal palmar skin tear Peimer, Clayton A. 2014

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