Question 1

has anyone done needle aponeurotomy for dupuytren's contracture?

Accepted Answer

Of course: Hand surgery perform various procedures for dupuytren's disease.  For contractors we use open fascectomy (surgery), needle aponeurotomy, and enzyme therapy (collagenase, xiaflex(r)).  Although I have my preference for different stages of disease and location of contracture (pip vs mcp joint) there is currently no scientific evidence to support one treatment over another.

Question 2

can you tell me about needle aponeurotomy for dupuytren's contracture?

Accepted Answer

Dupuytrens : Dupuytens is a progressive disorder that at this point does not have a cure but has very successful treatments. Traditionally treatment observed until contracture was severe  and surgery was offered.  Some new alternatives include needle aponeurotomy, limited fasciaotomy and xiaflex (collagenase clostridium histolyticum) or collagenase

a site that offers new treatment updates is http://tinyurl.Com/b5mn7vg.

Question 3

what is the pros and cons for a needle aponerotomy operation for dupuytrens?

Accepted Answer

Quick but can recur: Needle aponuerotomy is an office based procedure, done under local anesthetic, used to straighten fingers contracted by dupuytren's disease.  The diseased cord is cut in several places and the finger is straightened.  Unfortunately, the chances of recurrence are high. Dupuytren's is a genetic condition and is never cured. Talk to a hand surgeon for operative & non-operative treatments(injections).

Question 4

how common is a dupuytren's contracture?

Accepted Answer

About 1 in 20 people: Typically affects people of northern european origin, less common in other ethnicities.

Question 5

i have dupuytrens contracture, which parts of my body will be affected?

Accepted Answer

Hand and fingers: If you have a dupuytrens diathesis not just a contracture it may also affect the sole of the foot and toes, and the penis. Surgery indicated for mp joint contracture &gt; 20 degrees, or any involvement of the pip joint.

Question 6

can peyronies disease cause dupuytrens contractures?

Accepted Answer

No: Peronies is a form of dupuytren's diathesis involving the penile shaft. Dupuytrens contracture can occur along with peronies as part of dupuytrens diathesis but is not caused by it.

Question 7

how effective is surgery for dupuytren's contracture disease?

Accepted Answer

Very effective: it is generally very effective. There is also a local injection available for this disorder which may remove theneed for surgery.

Question 8

what are the risks of surgery for dupuytren's contracture and what is the alternative?

Accepted Answer

Several risks: Besides the chance of reacting to anesthetic, bleeding or developing an infection, there is the risk of skin loss/slow healing.  Nerve damage can cause permanent numbness/pain and scar tissue, stiffness.  Also the contracture can reoccur.  That is why we don't operate on mild cases.  The alternatives include physical therapy, no surgery and an injectable medication to dissolve bands.

Question 9

can you get impaired motor ability as a symptom of dupuytren's contracture? what are the other symptoms?

Accepted Answer

See details: The basic issue is impairment of hand function due to an major contractures of one or more fingers.

Question 10

how can i cure dupuytren's contracture?

Accepted Answer

Dupuytrens: There is no cure .  But there is treatment .   See an orthopedist or  orthopedic hand specialist for assistance

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Doctor answers about:

Dupuytren s contracture needle aponeurotomy

A member asked:

Has anyone done needle aponeurotomy for dupuytren's contracture?

A member asked:

Can you tell me about needle aponeurotomy for dupuytren's contracture?

A member asked:

What is the pros and cons for a needle aponerotomy operation for dupuytrens?

A member asked:

How common is a dupuytren's contracture?

A member asked:

I have dupuytrens contracture, which parts of my body will be affected?

A member asked:

Can peyronies disease cause dupuytrens contractures?

A member asked:

How effective is surgery for dupuytren's contracture disease?

A member asked:

What are the risks of surgery for dupuytren's contracture and what is the alternative?

A member asked:

Can you get impaired motor ability as a symptom of dupuytren's contracture? what are the other symptoms?

A member asked:

How can i cure dupuytren's contracture?

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