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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Avaliação do tratamento cirúrgico da doença de Dupuytren pela técnica da palma aberta modificada

Journal of Plastic Surgery and Hand Surgery. Hand NY ; 4 3: Hand therapy is prescribed to optimize post-surgical function and to prevent joint stiffness. Prevalence of Dupuytren’s contracture in patients infected with HIV. Family historyalcoholismsmokingthyroid problemsliver diseasediabetesepilepsy [2] [4]. We conclude that the open palm technique is a safe option xontratura treat Dupuytren’s disease and that it offers satisfactory results with low complication rates.

If necessary, incisions are made in the fingers. In this study, the mean age of patients was 65 years range, 54—75similar to that of most studies.

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Ligamentopathy Ligamentous laxity Hypermobility. Evidence also points to heredity as a predisposing factor in this pathology, suggesting an autosomal dominant pattern. Moderate pressure for 10—20 seconds ruptures the cord.


This table presents descriptive measures of deficits. A year review of the English literature”. The following page uses this file: The needle is placed vertically on the bowstring.

Fibronectin filaments and actin microfilaments are organized into a fibronexus in Dupuytren’s diseased tissue. 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.

Should we consider Dupuytren’s contracture as work-related? Results The study included 58 patients, 26 This fact occurs because there is a residual pathological fascia, or what is called the extent of the disease, in which there is the formation of new fascia in a place near the surgical site.

Dupuytren’s disease, Viking disease, [1] contraction of palmar fascia, palmar fascial fibromatosis, palmar fibromas [2]. In Dupuytren’s contracture, the palmar fascia within the hand becomes abnormally thick, which can cause the fingers to curl and can impair finger function. A structured review of published studies”. Stitches are removed 10 days after surgery.

File:Morbus dupuytren – Wikimedia Commons

Correlation between Dupuytren’s disease and arcus senilis: Dupuytren’s and epilepsy revisited. In one of our patients, flexion deformity of the proximal interphalangeal joints exceeded 90 degrees and could not be corrected with z-plasty. Furthermore, two patients had involvement of the feet Ledderhose’s disease. Collagenase injection is likewise most effective for Stages I and II.


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

Nat Rev Mol Cell Biol. This report evaluated the results obtained in patients suffering from Dupuytren’s disease who were treated with the open palm technique. The Open Orthopaedics Journal.

Please review our privacy policy. Regarding dyslipidemia, some results suggest its influence on the pathogenesis of Dupuytren’s disease; duputren microscopy studies revealed lipid inclusions within fibroblasts and the extracellular connective tissue of pathological palmar aponeurosis.

The fingers were immobilized in extension for the first five days and the patient was referred for early chirotherapy rehabilitation. It is believed that the increase in free radicals due to alcohol metabolism is involved in the genesis of the disease.

Smoking, alcohol and the risk of Dupuytren’s contracture. J Hand Surg Br. Archived from the original on 10 September However, it is also used at other stages. Plastic and Reconstructive Surgery. Recurrence lacks a consensus definition. After removal of the wires, the joint is fixed into flexion, which is considered preferable cpntratura fusion at extension.