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Doctor insights on: Depuytrens Contracture

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Dr. F. Thomas Kaplan
380 doctors shared insights

Contracture (Definition)

Contracture = deformity caused by permanent shortening of ...Read more


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What is dupuytren's contracture?

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?

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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