Hand

Dupuytren’s contracture treatment

choroba Dupuytrena

Dupuytren’s contracture is an abnormal thickening and tightening of the normally elastic tissue, called the fascia, beneath the skin of the palm and fingers. In Dupuytren’s contracture, these cords tighten, or contract, causing the fingers to curl forward. The etiology of the disease is unclear. It lists a number of factors influencing the emergence of the disease including genetics. It may run in the family. Occur  among people with diabetes, epilepsy, liver disease, and among smokers. The Dupuytren’s disease is ten times more common among men than women, usually above the age of 40. It may also have a professional nature of injury, and therefore, lead to exposure to overload and microtrauma during work.

Dupuytren’s contracture – symptoms

The first symptom for many patients is one or more lumps under the skin in the palm of the hand. Inflexible bands cause the fingers to bend, or “curl,” forward toward the wrist. As this curling gets worse, it becomes difficult to put a hand into a pocket or greet with people.

Dupuytren’s contracture – treatment

Minor finger movement changes do not require surgical treatment. It is recommended to see doctor. The majority of patients opting for surgery because of finger contracture find it difficult to perform daily activities. There are many operating methods adapted for this disease. Due to the extent of cuts during surgery and wound drainage, sometimes 1-2 days of hospitalization are required. Wrist exercises are recommended postoperatively.

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