Dupytren Contracture (Subscribe)  

50 years experience with Dupuytren's contracture in the Erlangen University Hospital – A retrospective analysis of 2919 operated hands from 1956 to 2006 Bernd Loos , Valerij Puschkin and Raymund E Horch BMC Musculoskeletal Disorders 2007, 8:60 Prepublication

Dupuytren contracture, a disease of the palmar fascia, results in the thickening and shortening of fibrous bands in the hands and fingers. This disease entity belongs to the group of fibromatoses that include plantar fibromatosis (Ledderhose disease), penile fibromatosis (Peyronie disease), and fibromatosis of the dorsal proximal interphalangeal (PIP) joints...

ynonyms and related keywords: Dupuytren contracture, palmar fascia, finger contracture, palmar fasciotomy, fasciectomy, dermofasciectomy, fibroblast proliferation, myofibroblasts, collagen deposition, type III collagen, basic fibroblast growth factor, platelet-derived growth factor, transforming growth factor-beta, glycosaminoglycans, metacarpophalangeal joint, MCP joint, proximal interphalangeal joint, PIP joint, distal interphalangeal joint, DIP joint, plantar fasciitis, Peyronie...

Definition - Fibroproliferative disorder of palmar aponeurosis

Epidemiology
Risk Factors
Aetiology
Pathology
Anatomy
Clinical Presentation
Treatment
Surgical Technique
Complications

Conclusions Between 2003 and 2008, fasciectomy was the most common surgical procedure for DC in England. While procedure rates and physician specialties varied little, there was a reversal in surgical venue: inpatient operations decreased as day case procedures increased. The change is likely due to economic trends and changes to the...

Dupuytren's contracture is a progressive disorder that affects the palmar fascia causing the fibrous tissue to shorten and thicken.1 This contracture results in flexion deformity of the fingers and loss of hand function.

BMJ 2006;332:397-400 (18 February), W A Townley, R Baker, N Sheppard, A O Grobbelaar
Dupuytren's disease is a common and disabling fibroproliferative condition of the hand. It tends to strike patients in advancing age, causing progressive digital flexion contracture. Through its many associations, Dupuytren's disease crosses all borders...

Wheeless' Textbook of Orthopaedics

Good patient information.
Dupuytren's disease is a thickening and shrinking of the layer of flesh just under the skin of the palm. It can cause lumps or dimples in the skin of the palm, and can draw the fingers down into a bent position. It is named after a surgeon who...

Discussion paper prepared for The Workplace Safety and Insurance Appeals Tribunal Ontario July 2002
Prepared by: Dr. Lawrence N. Hurst MD FRCS(C) Good overall illustrated account

Needle Aponeurotomy (Needle Aponevrotomy or NA) is a minimally invasive treatment for Dupuytren's contracture. In contrast to surgical treatment, which requires several months of recovery, Needle Aponeurotomy allows a more rapid recovery. In most cases, it is possible to return to near normal activities without bandages within a few days...

Dupuytren's contracture is a progressively debilitating hand disease that involves an abnormal thickening and contracture of tough tissue in the palm, causing the fingers to curl. Although fasciectomy is usually recommended to release the contracture when hand function becomes severely limited, a less incapacitating and more inexpensive option — needle...

Review of reported studies from UK National Institute for Health and Clinical Excellence

Presentation by J.P. Moermans, MD, PhD Université Libre de Bruxelles

Surgical Indications: - MCP contracture greater than 30 deg; - PIP joint: any significant contracture (more than 20);