{"text":"NHS Confidential: Personal data about a patient \nNorwood Henry CHI: 0101506015 \nClinical letter - GP: 'NHS \nNt eevens\u00ae \nGreater Glasgow \nand Clyde \nGlasgow Rovyal Infirmary \nAlexandra Parade \nDr. EM McLellan C?Bl\u2018isg;\\g \nApercromby Practice Main 0141 211 4000 \nBridgeton Health Centre Switchboard: \n201 Abercromby Street Department Orthopaedics \nGlasgow Contact Tel: \nG40 2DA Enquiries to: \nLetter Date: 20\/08\/2018 \nReference: BD\/SH \nDictated 28\/08\/2018 \nDate: \nDear Dr McLellan, Transcribed 06\/09\/2018 \nDate: \nHenry Norwood; D.O.B:01\/01\/1950; CHI: 0101506015 \n248 MILLROAD DRIVE, Glasgow, Lanarkshire, G40 2NS \nDiagnosis: Dupuytren's Contracture right little and ring fingers \nQutcome: Placed on the waiting list for revision right palmar, ring and little finger \nfasciectomy. \nThank you for referring this \u20ac8 year old right hand dominant, self employed joiner to the \nOrthopaedic Clinic. In 2013 he had right palmar and ring finger fasciectomy with a good \noutcome. It has only been in the past nine months that he has developed recurrence \nof a contracture in his ring finger and first time contracture of his little finger. Working at \nfloor level he has difficulty when applying pressure through his hand to push himself up to \nstand. Also, he uses certain tools which require his hand to be flat therefore posing some \ndifficulty. He often pokes his right finger in his eye when washing his face. \nHe lives with his friend and smokes 40 cigarettes per day. His brother also has \nDupuytren's. \nHe has a past medical history of COPD for which he takes inhalers. \nOn examination of his right hand and he has thick cord in his palm between his ring and \nlittle finger. This produces a 20\u00b0 contracture of the little finger MCP joint. There is also a \nband at the medial aspect of his ring finger producing a 50\u00b0 contracture of the PIP joint. \nRing finger MCP extension is to neutral. There was no sensory deficit of his finger. \nIn his left hand he has a cord to his left thumb and puckering in line with his ring and middle \nfingers but no joint contracture. \nWith the success of his surgery five years ago he is now keen to proceed with further \nfasciectomy surgery. The risks and benefits were discussed and he has been placed \nPrinted on 20\/09\/2018 12:03 by Briony McCulloch Page 1 of 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