Dupuytren’S Contracture

(Dupuytren’s contracture; Palmarfibromatose)

In Dupuytren’s contracture is a progressive contracture of Palmarfaszienbandes, which causes a flexion deformity of the fingers.

Dupuytren’s contracture is one of the more common deformities of the hand and is more common in men and beyond the 45th year of life. The autosomal dominant form with variable penetrance is more common in diabetics, alcoholics and epileptics. Whereby the thickening and contracture of the palmar fascia is conditioned in particular, however, is unknown.

In Dupuytren’s contracture is a progressive contracture of Palmarfaszienbandes, which causes a flexion deformity of the fingers. Dupuytren’s contracture is one of the more common deformities of the hand and is more common in men and beyond the 45th year of life. The autosomal dominant form with variable penetrance is more common in diabetics, alcoholics and epileptics. Whereby the thickening and contracture of the palmar fascia is conditioned in particular, however, is unknown. Dupuytren’s contracture of the little finger DR P. MARAZZI / SCIENCE PHOTO LIBRARY var model = {thumbnailUrl: ‘/-/media/manual/professional/images/m1400187_dupuytrens_contracture_of_little_finger_science_photo_library_high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/ – /media/manual/professional/images/m1400187_dupuytrens_contracture_of_little_finger_science_photo_library_high_de.jpg?la=de&thn=0 ‘, title:’ Dupuytren’s contracture of the little finger “, description: ” credits ‘DR P. MARAZZI / SCIENCE PHOTO LIBRARY’, hideCredits : false, hideTitle: false, hideFigure: false, hideDescription: true}; var panel = $ (MManual.utils.getCurrentScript ()) Closest ( ‘image-element-panel.’). ko.applyBindings (model, panel.get (0)); Symptoms and signs The earliest manifestation is usually a palmar tendons node that usually near the III. is localized finger or IV. he is gradually painless. The next step is a superficial strand metacarpophalangeal and interphalangeal joints of the fingers is contracted. The hand finally gets an arcuate shape. Occasionally, there is an association with a fibrous thickening of the dorsal aspects of the proximal interphalangeal joints, the so-called patient. Fingerknöchelpölsterchen (Garrod pad), at 7-10% with Peyronie’s disease (Penisfibromatose) and rarely with tendons node on the plantar fascia, the so-called. Plantar. Other types of flexion deformities of the fingers come in diabetes mellitus, systemic sclerosis and chronic reflex also present, they must be defined. Therapy Kortikosteroidinjektion (before contractures develop) surgery for debilitating contractures injection of clostridial collagenase for certain contractures corticosteroid injections in the nodes can relieve local pain at the stage before the development of contracture. However, the tenderness is self-limiting and often disappear without intervention. Surgical intervention is indicated when the hand can not be laid flat on the table or v. a. if developed a significant contracture of the PIP joints. Surgical options include percutaneous Nadelfasziotomie, the temporary application of a dynamic external fixator at PIP joint contractures and the open palmar / digital fasciectomy. Serious illness involving multiple fingers open surgery with excision of the diseased fascia is the best treatment. The excision must be done very carefully, because the tissue surrounding neurovascular structures and tendons. Incomplete excision or newly occurring disease can result in a recurrence of the contracture, this applies v. a. for family heaped form and for patients in whom the contracture has erstmanifestiert at a young age; Finally, even in association with knuckle pads, Peyronie’s disease and Plantar. The injection of collagenase can result in some contractures to regress, particularly those on the MCP joint.

Health Life Media Team

Leave a Reply