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Doctor insights on: Medicine For Dupuytrens Contracture

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Dr. Gary Pess
80 Doctors shared insights

Dupuytren's Contracture (Definition)

A hereditary disease of the palmar fascia collagen which causes lumps, ...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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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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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 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 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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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 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

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

Hands, but related: To 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

In the foot is called Lederhoes and in the Penis Peyronies, but those are not in the hand. Only the hand is actually called dupuytren ...Read more

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How common is dupuytren's contracture in the u.S.? Is there a lot of very mild cases that people don't know about?

3-6% incidence: Dupuytren's contracture affects 3-6% of the population of the United States. Cases vary btw very mild disease with nodules only, to severe cases with bilateral hand contractures, recurrence and involvement of the feet and/or penis. The disease is more common in people with northern european ancestry and has a strong family inheritance pattern. ...Read more

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Is dupuytren's contracture curable?

No: Not curable but definitely treatable. There are a variety of options available (xiaflex (collagenase clostridium histolyticum) injections, needle aponeurotomy, surgery) that can be tailored to your specific needs. Check in with a hand surgeon to find out what is best for you. ...Read more

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Is dupuytren's contracture curable? ?

No, but treatable.: Dupuytren's contracture is a fibroproliferative disorder with a strong genetic component. The physical manifestations can be treated with open surgery, neddle apponeurotomy, or Collagenase injections. However, done of these treatments deal with in underlying cause of the collagen cords. There is a strong likely hood of recurrence with all treatments. See a board certified orthopaedic hand surgeon. ...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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Can peyronies disease cause dupuytrens contractures?

Can peyronies disease cause dupuytrens contractures?

Dupuytrens, Peyronie: And Ledderhose are all fibromatosis of the fascial layer. They are related but one does not cause the other. If one has a significant amount of genes for the trait then those that have locations outside the hand and have knuckle pads have a usually more aggressive the in the hand. WRT to your real question NO one can't transfer it by contact from one body area to another or to another person. ...Read more

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How effective is surgery for Dupuytren's contracture disease?

Dupuytrens 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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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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Does peyronies disease cause dupuytren's contractures? Please, need some answers?

No: They are both types of fibromatosis but one does not cause the other ...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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Can anyone who has done surgery to treat dupuytrens contracture disease please tell me if it truly helped or not?

Can anyone who has done surgery to treat dupuytrens contracture disease please tell me if it truly helped or not?

Yes, may recur: Due to the genetic nature of this disease, there is a chance of recurrence no matter how it's treated. Surgery was the only way to get the fingers straight, but the incisions are painful and take time to heal. There is now an injection that can be used to dissolve the tissue contracting the fingers. Since I started injecting, I rarely do surgery. Talk with an orthopaedic hand surgeon about options. ...Read more

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Heard that if you have peyronies disease you could also have dupuytrens contractures. Does peyronies disease cause this?

No: Both peyronie's disease and dupuytren's contracture are contractile issues with regard to fascia of the penis or palm respectively. They are both components of dupuytrens diathesis but one does not cause the other. ...Read more

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I've heard that if you have peyronie's disease, you could also have dupuytren's contractures. Does peyronie's disease cause this?

I've heard that if you have peyronie's disease, you could also have dupuytren's contractures. Does peyronie's disease cause this?

Common cause: Dupuytren`s contractures, peyronies disease and foot contractures can occur in the same person or separately. The exact cause is not known but risk factors are male sex, family history, northern European descent, diabetes, and tobacco and alcohol use. ...Read more

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What are the risks of surgery for dupuytren's contracture?

Several: Surgery to excise the pathologic tissue from dupuytren's diease carries many of the same risks as other surgery - infection, scarring, stiffness, nerve or artery injury. Because of the way the dupuytren's cords can wrap around the nerve and artery the risk to them is 1-5% (higher if it is a re-do surgery) other main risks are recurrent disease, recurrent contracture, and flare reaction. ...Read more

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

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

Pain and recurrence.: Surgery for dupuytren's contracture will usually straighten the affected fingers, but is not without risk. Infection or other wound healing problems may occur. Temporary or permanent nerve damage is also seen. Pain and scarring can prevent motion. All treatments of dupuytren's contracture have a risk of recurrence. Alternatives to surgery include Collagenase injections and needle aponuerotomy. ...Read more

Dr. F. Thomas Kaplan
382 Doctors shared insights

Contracture (Definition)

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