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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Steroid injectionsclostridial collagenase injections, surgery [4] [5].

The person is placed under regional anesthesia and a surgical tourniquet is used. Concomitant involvement and contracture of the plantar fascia Ledderhose’s disease was identified in two patients, whereas penile fascia Peyronie’s disease was not observed in the present patients.

J Hand Surg Br. 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.

If the hand lies completely flat on the table, the test is considered negative. Gabbiani G, Majno G. Considering the severity of the deformity and the functional aspect of the hand, finger V was amputated after receiving the patient’s approval.

During the procedure, the person is under regional or xontratura anesthesia. Results there was obtained an average of 6.

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

We made a partial fasciotomy, which left open only the transverse incision. 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.

Retrieved March 23, Contratjra Clin North Am. The mechanism that links Conntratura disease with alcohol is unclear. While typically not painful some aching or itching may be present.

Based on symptoms [4]. Radiation therapy has been used mostly for early stage disease, but is unproven.

Family historyalcoholismsmokingthyroid problemsliver diseasediabetesepilepsy [2] [4]. Material and methods Dupuyytren study retrospectively evaluated dupuytrn of the 58 patients with Contrratura disease treated at this hand surgery outpatient clinic in The objective of this study is to evaluate the results of surgical treatment of patients with Dupuytren’s disease grades III and IV operated in our department with the use of the open palm technique McCash modified with the association of proximal and distal longitudinal incisional extensions on the palm, besides Brunner incisions in the fingers.


In three digitus annularis and three little fingers, the flexion deformity of the proximal interphalangeal joint was due to a disease nodule located at the proximal digital crease. Disease with gradual bending of the fingers due to scar tissue build up within the palms. Health dr assessment Winchester, England.

This demonstrates the effectiveness of the open palm technique modifiedprovided there is an appropriate therapeutic plan, which is consistent with the literature.

The Journal of Bone and Joint Surgery. When necessary, another transverse incision was performed proximally to the first to facilitate the resection of the affected tissue.

Retrospective analysis of patients diagnosed with Dupuytren’s disease in a hand surgery clinic in This classification is divided into four stages: Smoking, alcohol and the risk of Dupuytren’s contracture.

But Dupuytren cautioned that not all cases could be explained this way.

Epidemiological analysis of patients with Dupuytren’s disease

Views View Edit History. The anatomopathologic aspect is that of an aggressive lesion, displaying a large number of cells and mitoses. The cord is sectioned at as many levels as possible in the palm and fingers, depending on the location and extent of the disease, using a gauge needle mounted on a 10 ml syringe.

American Medical Association Press; Chicago: This table presents descriptive measures of deficits. In the present study, which is in agreement with the literature, a high prevalence of risk factors was observed, such as advanced age mean However, none of these mechanisms has been clearly determined.

Recurrence lacks a consensus definition.

Dupuytren’s disease is characterized by palmar fascia hypertrophy due to the appearance of a proliferative fibroplasia of the subcutaneous tissue, which may present itself as nodules or cords. Furthermore, different standards and measurements follow from the various definitions. See the referenced article with doi: This high prevalence in elderly patients, especially fupuytren C, is in agreement with the literature and is due, among other factors, to the late development of hypertrophy and the absence of symptoms such as pain, itching, or functional limitation until the residual phase, when the cords promote finger flexion.


Análise epidemiológica dos pacientes com doença de Dupuytren

Fibronectin filaments and actin microfilaments are organized into a fibronexus in Dupuytren’s diseased tissue. CS1 Spanish-language sources es Webarchive template wayback links CS1 French-language sources fr Articles with short description Infobox medical condition new Pages using infobox medical condition with unknown parameters All articles with unsourced statements Articles with unsourced statements from January Articles needing additional references from September All articles needing additional dupuytrdn Articles with unsourced statements from April All Wikipedia articles needing clarification Wikipedia articles needing clarification from April Wikipedia articles with style issues from September All articles with style issues Wikipedia articles needing clarification from July RTT RTTEM.

The patients were then advised to actively move their fingers, and the bandage was replaced weekly until the wounds closed. By using this site, you agree to the Terms of Use and Privacy Policy.

There are also conflicting reports about the disease in alcoholics. Inone of the authors 18 MCM published a study of 10 patients total of 16 hands with Dupuytren’s disease who underwent surgery using the open palm technique; that study demonstrated results similar to those presented herein. The palmar wound was left open and healed in 22 days, but the deformity of the proximal interphalangeal joint was not corrected. The contraturra surgical treatment was the removal of the contracted fascia; since then, various techniques and modifications have been described: This procedure results in a large skin defect.

Annals of the Royal College of Surgeons of England. This page was last edited on 19 Septemberat

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