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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This file contains additional information such as Exif metadata which may have been added by the digital camera, scanner, or software program used to create or ddupuytren it. Compared to conservative treatment, the most promising therapy is the application of intrafocal clostridium collagenase in the cord, now in an advanced clinical trial phase. Clearly occurs a decrease in the angle of the joints in all patients after surgery.
Intervenção da Terapia Ocupacional na Contratura de Dupuytre by Amanda Ferreira on Prezi
The hand and arm are elevated with a sling. Some authors recommend percutaneous needle fasciotomy as a minimally invasive procedure for treatment of the disease. Advances in the understanding of the aetiology of Dupuytren’s disease. Its etiology is still unknown, but the importance of heredity was proved, because of the high incidence in the descendents of northern Europe.
In addition, he observed the complete correction of flexion deformities of the proximal interphalangeal and metacarpophalangeal joints. This classification is divided into four stages: Conclusion The etiology of Dupuytren’s disease continues to be undetermined. Clinical associations of Dupuytren’s disease. In that study, diabetes mellitus ds identified as a significant risk factor, mainly in insulin-dependent diabetes.
File:Morbus dupuytren – Wikimedia Commons
People start bending and contrarura their fingers as soon as the anesthesia has resolved. The collagenase is distributed across three injection points.
J Bone Joint Surg Am.
Gender differences were not statistically significant. The New York Times. Several alternate therapies such as vitamin E treatment, have been studied, although without control groups. Churchill Livingstone; New York: Material and methods This study retrospectively evaluated all of the conntratura patients with Dupuytren’s disease treated at this hand surgery outpatient clinic in Published by Elsevier Editora Ltda.
Retrieved 3 June Postoperative care involves hand therapy and splinting.
Análise epidemiológica dos pacientes com doença de Dupuytren
The condition is usually painless, and after its maturation may suffer retractions, which cause a flexion deformity of the metacarpophalangeal MCP and proximal interphalangeal PIP joints. Family historyalcoholismsmokingthyroid problemsliver diseasediabetesepilepsy  . The etiology of Dupuytren’s disease continues to be undetermined. The outcome of surgical treatments for primary Dupuytren’s disease – A systematic review.
Surgery of Dupuytren’s disease: Only anecdotal evidence supports other compounds such as vitamin E. J Hand Surg Br. Appendix A Supplementary data associated with this article can be found, in the online version, at doi: No splints or physiotherapy are given. A third approach emphasizes early self-exercise and stretching. 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.
The wounds closed in an average period of 25 days, with a range of 17 to 30 days Table 1. In all patients, the surgical technique used was that recommended by McCash, with transverse incision in the distal palmar crease, associated with a modification with proximal and distal longitudinal incisional extensions on the palm.
Plastic and Reconstructive Surgery. Minimal followup was 3 years. Methods Retrospective analysis of patients diagnosed with Dupuytren’s disease in a hand surgery clinic in Unsourced material may be challenged and removed. The most common finger to be affected is the ring finger; the thumb and index finger are much less often affected.
D ICD – Several studies have associated Dupuytren’s disease with diabetes mellitus. In a MCP joint contracture the ve must be placed at the point of maximum bowstringing of the palpable cord.
In a sample of 30 patients, Silva et al. The original surgical treatment was the removal of the contracted fascia; since vontratura, various techniques and modifications have been described: