Palm aponeurosis, also known as Dupuytren’s disease, was initially described by Felix Platter in . A técnica de palma aberta na contratura de Dupuytren. It was observed a higher incidence of Dupuytren’s disease was observed among men, .. Chakkour I., Gomes M.D. Contratura de Dupuytren. Keywords: Dupuytren contracture, Hand, Surgical procedures operative .. Freitas A.D., Pardini A.G., Neder A.L. Contratura de Dupuytren.

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A survey of the attitudes to smoking in a district general hospital. They concluded that presence of diathesis can predict recurrence and extension.

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Services dupyutren Demand Journal. Cited disadvantages include joint stiffness, contgatura pain, discomfort, [58] subsequently reduced function and edema. The condition is usually painless, and after its maturation may suffer retractions, which cause a flexion deformity of the metacarpophalangeal MCP and proximal interphalangeal PIP joints.

The following page uses this file: Nat Rev Mol Cell Biol. You may do so in any reasonable manner, but not in any way that suggests the licensor dkpuytren you or your use. The condition affects more men than women ranging from 7: The same procedure is used in the segmental fasciectomy with cellulose implant. Archived from the original on March 23, Please review our privacy policy. The outcome of surgical treatments for primary Dupuytren’s disease – A systematic review.


Dupuytren’s contracture – Wikipedia

Dermofasciectomy is a surgical procedure that is mainly used in recurrences and for people with a high chance of a recurrence of Dupuytren’s contracture. La chirurgie n’est plus obligatoire” [Dupuytren’s contracture: The fingers were immobilized in extension for the first five days and the patient was referred for early chirotherapy rehabilitation. Limited excision of Dupuytren’s contracture. Recurrence lacks a consensus definition.

Supplementary data The following are the supplementary data to this article: A third approach emphasizes early self-exercise and stretching. Smoking, alcohol and the risk of Dupuytren’s contracture. The open palm technique remains a safe alternative for the treatment of Dupuytren’s disease, with satisfactory results and low risk duppuytren complications.

File:Morbus dupuytren fcm.jpg

After surgery people wear a light pressure dressing for four days, followed by an extension splint. The cause is unknown.

After the dipuytren and a careful hemostasisthe cellulose implant is placed in a single layer in between the remaining parts of the cord. After removal of the wires, the joint is fixed into flexion, which is considered preferable to fusion at extension.

Regarding the pattern of involvement, the most frequent fingers are the ring and the little fingers; the disease is more severe and common in the dominant hand. The Journal of hand surgery, European volume. The Open Orthopaedics Journal.

Dupuytren contracture, Hand, Surgical procedures operative. Moreover, it improves the contractile behavior of myofibroblasts and causes rapid and stronger contractions in response to mechanical stimuli.


J Bone Joint Surg Am. While typically not painful some aching or itching may be present. Contrztura aponeurosis, also known as Dupuytren’s disease, was initially described by Felix Platter in Iliotibial band syndrome Patellar tendinitis Achilles tendinitis Calcaneal spur Metatarsalgia Bone spur.

This monograph associated the disease to local chronic trauma on the palm, usually related to heavy duty. Considering the severity of the deformity and the functional aspect of dupuyhren hand, finger V was amputated after receiving the patient’s approval. The digits are placed under maximal extension tension using a firm lead hand retractor.

There are reports in the literature of several dupiytren of underlying diseases, lifestyle characteristics, or trauma with Dupuytren’s disease.

In the fingers, Brunner incisions were made. All subjects agreed to participate after being informed of the study’s objectives. J Hand Surg Am.

Epidemiological analysis of patients with Dupuytren’s disease

Minimally invasive therapies may precede higher recurrence rates. We made a partial fasciotomy, which left open only the transverse incision.

After palmar wound closure, the little finger was amputated for functional reasons. In order to facilitate the analysis, patients were grouped by age: Collagenase injection is likewise most effective for Stages I and II. Cobtratura a sample of 30 patients, Silva et al.