CONTRATURA DE DUPUYTREN PDF

Palm aponeurosis, also known as Dupuytren’s disease, was initially described by Felix Platter in . A técnica de palma aberta na contratura de Dupuytren. It was observed a higher incidence of Dupuytren’s disease was observed among men, .. Chakkour I., Gomes M.D. Contratura de Dupuytren. Keywords: Dupuytren contracture, Hand, Surgical procedures operative .. Freitas A.D., Pardini A.G., Neder A.L. Contratura de Dupuytren.

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Recurrence rates are high. To evaluate the risk factors and analyze the characteristics of patients and lesions in Dupuytren’s disease.

The open palm technique in Dupuytren’s contracture. Journal of Bone and Joint Surgery. In the present study, which is in agreement with the literature, a high prevalence of risk factors was observed, such as advanced age mean Regarding gender, the male to female ratio was 1. Furthermore, it has been suggested that alcohol may cause damage to adipose tissues by provoking a fibrotic response or altering prostaglandin production; however, none of these theories has been proven. Possibly, this relationship is due to the increase in the production of free radicals caused by the infection.

Epidemiological analysis of patients with Dupuytren’s disease

September Learn how and when to remove this template message. The literature is controversial as to the advantages and disadvantages of the open palm technique, which determines more skin stretching, besides preventing complications such as hematoma, necrosis, skin ischemia, tension and pain. All patients included in this study were surgically treated with the open palm dupuytrwn. Dupuytren’s disease is characterized by palmar fascia hypertrophy re to the appearance of a proliferative fibroplasia of the subcutaneous tissue, which may present itself as nodules or cords.

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Journal of Clinical Epidemiology. Hand therapy is prescribed to optimize post-surgical function and to prevent joint stiffness.

Stitches are removed 10 days after surgery. It was observed a higher incidence of Dupuytren’s disease was observed among men, whites, and the ulnar conratura of the hand, especially the ring finger.

Published online Dec The affected tissue was removed through a transverse incision in the region of the distal palm crease, which allowed the correction of the flexion deformity of the metacarpophalangeal joint.

The palmar wound was left open and healed in 22 days, but the deformity of the proximal interphalangeal joint was not corrected. Disease with gradual bending of the fingers due to scar tissue build up within the palms. Diabetes mellitus in the aetiology of Dupuytren’s disease. New England Journal of Medicine. Journal of the British Society for Surgery of the Hand. The hand and arm are elevated with a sling.

The cord is also separated from the skin to make place for the lipograft that is taken from the abdomen or ipsilateral flank. Steroid injectionsclostridial collagenase injections, surgery [4] [5].

Typically, Dupuytren’s contracture first presents as a thickening or nodule in the palm, which initially can be with or without pain. Enzyme injection as nonsurgical treatment of Dupuytren’s disease. Although recent research has suggested the local administration of substances such as collagenase 6 and corticosteroids 7 for the non-surgical treatment of Dupuytren’s disease, surgery is still the most used method.

Minimally invasive therapies may precede higher recurrence rates.

Intervenção da Terapia Ocupacional na Contratura de Dupuytre by Amanda Ferreira on Prezi

When a comparison was performed between people aged 55 years and older versus under 55 years, there was a statistically significant difference at both MP and PIP joints, with greater correction maintained in the older group.

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Received Jul 16; Accepted Aug Discussion Dupuytren’s disease is a fibroproliferative alteration of unknown cause that affects the palmar fascia, replacing it with firm collagenous tissue, which leads to the formation of nodules and cords with finger retraction in flexion. The surgical treatment of Dupuytren’s contracture: Duputren of Plastic Surgery and Hand Surgery.

Myofibroblasts, a cell type described by Gabbiani and Majno 5have the morphological characteristics of fibroblasts and smooth muscle cells, and they are currently considered the determinant of Dupuytren’s disease.

A third approach emphasizes early self-exercise and stretching.

Dupuytren’s contracture

Studies have been conducted for percutaneous release, extensive percutaneous aponeurotomy with lipografting and collagenase. InDenkler described the technique. If necessary, incisions are made in the fingers. In extreme cases, amputation of fingers may be needed for severe or recurrent cases or after surgical complications.

Several studies have associated Dupuytren’s disease with diabetes mellitus. Results The wounds closed in an average period of 25 days, with a range of 17 to 30 days Table 1.

Boxes for the joint angulation, according to the joint and by period. Some studies indicate that both the drugs and the diseases affect the local circulation of the palm, such as in microangiopathy, in addition to changes in the production of cytokines and growth factors, which leads to increased collagen production and damage to adipose tissue, causing a fibrotic response.