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Doctor insights on: Contracture

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Dr. F. Thomas Kaplan
382 Doctors shared insights

Contracture (Overview)

Contracture = deformity caused by permanent shortening of a muscle or joint.


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What would cause contracture of the obturator externus?

What would cause contracture of the obturator externus?

Many things!: Many things can cause this: weak hip abductors, tight adductor muscles, limb length discrepancy, tight hamstring muscles, pronation of the foot when walking, running on canted surfaces, running down hill quickly. You might want to see a physical therapist to learn stretches to improve this, then work on strengthening! ...Read more

Dr. F. Thomas Kaplan
382 Doctors shared insights

Contracture (Overview)

Contracture = deformity caused by permanent shortening of a muscle or joint.


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I have developed a hemotoma in my left breast after breast augmentation surgery. Does this mean i'll have capsular contracture? I'm very worried! Help

I have developed a hemotoma in my left breast after breast augmentation surgery. Does this mean i'll have capsular contracture? I'm very worried! Help

See your surgeon: Many people confuse bruising with hematoma. Bruising is dark discoloration of the skin and does not cause capsular contracture. A hematoma is large swelling of a breast due to internal bleeding which needs to be addressed by your surgeon and can lead to capsular contracture if left untreated. ...Read more

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Will getting surgery to treat dupuytrens contracture disease really help out or not?

Will getting surgery to treat dupuytrens contracture disease really help out or not?

Dupuytrens treatment: Whether it is surgery or collegians injection or aopneurotomy is designed to lessen a contracture of the finger. This is how it "helps" Many who have so called mild disease and even sone who have significant contracture do not have pain, or huge dysfunction for many tasks. So a lot depends upon whether one feels the contracture is limiting. It is important to understand the risks v benefits ...Read more

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What is dupuytren's contracture and how is it treated?

What is dupuytren's contracture and how is it treated?

Fibroproliferation: Dupuytren's contracture is a fibroproliferative disorder involving the tissues of the hand and sometimes the feet and/or genitalia. The disease is progressive, has a high family prevalence and recurrence rate. Treatment is observation for mild cases. More severe cases are treated with open surgery, percutaneous neddle apponeurotomy, or Collagenase injection. C a board certified ortho hand surgeon. ...Read more

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What sort of disorder is dupuytren's contracture?

What sort of disorder is dupuytren's contracture?

Fibroproliferative: Dupuytren's is a benign disease where normal tissue in the palm of the hand becomes diseases. It is a fibroproliferative disease, which means that the tissue becomes more active and there is an increase in the number of cells called fibroblasts. These produce extra collagen tissue which forms bumps or nodules. As the disease progresses, rope-like cords form which draw the fingers towards the palm. ...Read more

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What is the treatment for dupuytren's contracture?

There are 3 options: Dupuytren's contracture can be treated with surgical removal of the diseased tissue and straightening of the finger. Percutaneous release of the contracted finger called needle aponuerotomy. Finally, Collagenase injection followed by manipulation can be used to correct the deformity. Dupuytren's contracture is an ongoing disease and recurrence is common with all treatments. ...Read more

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Is there a cure for volkmann's contracture in a child?

Is there a cure for volkmann's contracture in a child?

Therapy and surgery: While there is no "cure" for volkmann's contracture once it has occurred, it can be improved. Depending on the degree of contracture, it can be treated with therapy to stretch out the muscles. More severe cases may require surgery to lengthen the muscles or reposition tendons so that they function better. ...Read more

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I want someone to show me how to get rid of a knee joint contracture without surgery yet I have not had any luck. I need help.?

I want someone to show me how to get rid of a knee joint contracture without surgery yet I have not had any luck. I need help.?

Knee contracture: Options conservatively include: stretch of quads & hams, purified omega, pt/laser/modalities, cortisone injection, Medrol (methylprednisolone) dose pak, manipulation. Your arthritis may limit the contracture & if severe enough, consider tka if pain is a significant factor. ...Read more

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If your finger get tight, then suddenly snaps open, is that a dupytren contracture or some sort of trigger finger?

If your finger get tight, then suddenly snaps open, is that a dupytren contracture or some sort of trigger finger?

Triggering: What you are describing sounds like "triggering" - which is the classic sign of a trigger finger. See your local orthopedic or plastic surgeon about correcting this. Dupytren's has more of a band-like tightening, and doesn't "release" like you described. ...Read more

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How to prevent post burn contracture in 2 degree burn in legs???

How to prevent post burn contracture in 2 degree burn in legs???

Contractures: Second degree burns should not result in contractures but if you're concerned, full ranging should help. ...Read more

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What are the tests for dupuytren's contracture?

None: There is no test for dupuytren's contracture other than the physical exam. Dupuytren's contracture is proliferation of collagen tissue in the hand. As the disease progresses, the fingers become bent and cannot be straightened. There are three treatment options at this time, surgery, needle aponuerotomy and Collagenase injection. ...Read more

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Can you tell me the risks of surgery for dupuytren's contracture?

Can you tell me the risks of surgery for dupuytren's contracture?

Many: Same risks as in most surgery. But the biggest risk is recurrence. Wide surgical excision is the only way to avoid recurrence. ...Read more

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What is dupuytren's contracture?

Fibrosis of ligament: Some people may be predisposed to this condition. Scaring of the ligaments to the hands and feet cause them to become fibrous and contract. You may develop bumps on the soles and palms causing the fingers and toes to curl or contract. ...Read more

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What are volkmanns ischemic contractures?

What are volkmanns ischemic contractures?

A complication: High pressure build up in a muscular compartment (can happen as a result of crush injury, bone fracture, or from constant pressure on a limb for a prolonged period of time) can cause decreased blood flow to tissues in that compartment, resulting in compartment syndrome. Volkmann's ischemic contracture is a server case in which some of the tissue within the compartment dies and contractors develop. ...Read more

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What are the causes of dupuytren's contracture?

What are the causes of dupuytren's contracture?

Mostly genetic: Dupuytren's contracture is a fibroproliferative disorder with a strong family history. Almost 2/3's of people with this disease have an affected family member. There are some associations with diabetes, alcoholism, and the occasional post-injury case. For the most part it is transmitted within families with some northern european ancestry. Disease causes nodules, cords and finger contractures. ...Read more

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What is dupuytren's contracture and how is it treated?

Fibroproliferation: Dupuytren's contracture is a fibroproliferative disorder involving the tissues of the hand and sometimes the feet and/or genitalia. The disease is progressive, has a high family prevalence and recurrence rate. Treatment is observation for mild cases. More severe cases are treated with open surgery, percutaneous neddle apponeurotomy, or Collagenase injection. C a board certified ortho hand surgeon. ...Read more

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How typical is dupuytren's contracture?

Dupuytrens disease: Http://www. Handctr. Com/dupuytrens-disease-faq. Html

It is common in Northern European heritage but can be seen in any ethnicity or origin. Some say that Scandinavian countries have up to 30-40% of the population involved

.http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC1305903/

Treatments vary from observation, to Xiaflex (collagenase clostridium histolyticum) to aponeurotomy to surgery depending upon a variety of factors ...Read more

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How can I cure dupuytren's contracture?

How can I cure dupuytren's contracture?

Hand Surgeon: Hand surgeons take care of dupuytren's disease. Whether it is by a traditional open fasciectomy, removing the tissue or a limited procedure such as limited open fasciotomy or percutaneous needle aponeurotomy a hand surgeons experience and training is what is needed. For more information regarding newer treatments na and xiaflex (collagenase clostridium histolyticum) see

http://www. Handctr. Com/dupuytrens-disease-faq. Html ...Read more

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What can cause dupuytren's contracture?

What can cause dupuytren's contracture?

Hereditary: It is a hereditary disease. You need to have inherited the genes to get it. ...Read more

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How common is a dupuytren's contracture?

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

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Is there a cure for volkmann's contracture?

Is there a cure for volkmann's contracture?

No: But treatment can improve function and relieve contractures. Therapy and muscle releases are performed. ...Read more

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How do I know if I have dupuytren contracture?

Dupuytren is a: Genetic familial disease, that is a progressive thickening of the fascia, a tough fibrous layer of tissue in the palm, Dupuytrens starts as nodules and can progress to cords causing joint contracture in the hand. Http://handctr. Com/dupuytrens-disease-faq. Html

and

http://handctr. Com/xiaflex-for-dupuytrens-information. Html

and

https://youtu. Be/aiMsrLECOOw? List=PLaYVr8V1oPuBXtJnqRkOJpzn8Js700CWP ...Read more

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What can I do about a dupuytren's contracture?

What can I do about a dupuytren's contracture?

3 options: There are 3 options for treatment of dupuytren's contracture:

1) fasciectomy - long recovery
2) needle aponeurotomy - see my article in journal of hand surgery april 2012
3) xiaflex

the treatment chosen will depend on the experience of your hand surgeon and the location and severity of the cords.

http://www. Centraljerseyhand. Com/dupuytrens-contracture-surgery. Htm. ...Read more

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What are the tests for dupuytren's contracture?

None: There is no test for dupuytren's contracture other than the physical exam. Dupuytren's contracture is proliferation of collagen tissue in the hand. As the disease progresses, the fingers become bent and cannot be straightened. There are three treatment options at this time, surgery, needle aponuerotomy and Collagenase injection. ...Read more

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What sort of disorder is dupuytren's contracture?

Fibroproliferative: Dupuytren's is a benign disease where normal tissue in the palm of the hand becomes diseases. It is a fibroproliferative disease, which means that the tissue becomes more active and there is an increase in the number of cells called fibroblasts. These produce extra collagen tissue which forms bumps or nodules. As the disease progresses, rope-like cords form which draw the fingers towards the palm. ...Read more

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What are the symptoms of dupuytren's contracture?

What are the symptoms of dupuytren's contracture?

A flexed finger: Dupuytren's contracture is a proliferation of collagen tissue in the palm, which causes the finger to be pulled into the palm. The collagen forms cords of hard tissue, preventing the finger from straightening. Unlike a trigger finger, which also gets stuck in flexion, a dupuytren's contracture can only be straightened with intervention. Treatment was initially surgical, but now can be injected. ...Read more

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Is there a cure for volkmann's contracture in a child?

Therapy and surgery: While there is no "cure" for volkmann's contracture once it has occurred, it can be improved. Depending on the degree of contracture, it can be treated with therapy to stretch out the muscles. More severe cases may require surgery to lengthen the muscles or reposition tendons so that they function better. ...Read more

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What is the definition or description of: Severe contractures?

What is the definition or description of: Severe contractures?

Severe contracture: Severe contracture could be related to tightening of non-bony tissues, such as muscles, tendons, ligaments, or skin. The contracture results in a loss of motion in the affected joints. ...Read more

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What is the definition or description of: Dupuytren's contracture?

What is the definition or description of: Dupuytren's contracture?

Dupuytrens disease: Http://www. Handctr. Com/dupuytrens-disease-faq. Html

It is common in Northern European heritage but can be seen in any ethnicity or origin. Some say that Scandinavian countries have up to 30-40% of the population involved

.http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC1305903/

Treatments vary from observation, to Xiaflex (collagenase clostridium histolyticum) to aponeurotomy to surgery dependin ...Read more