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Dupuytren's contracture of the right little finger. Arrow marks the area of scarring. Typically, Dupuytren's contracture first presents as a thickening or nodule in the palm, which initially can be with or without pain. [11] Later in the disease process, which can be years later, [12] there is increasing loss of range of motion of the affected ...
Dupuytren's contracture Guillaume Dupuytren, Baron Dupuytren ( UK : / ˌ dj uː p w iː ˈ t r æ̃ , dj uː ˈ p w iː t r ɛ n / , [ 1 ] US : / d ə p w iː ˈ t r æ̃ , d ə ˈ p w iː t r ən / , [ 2 ] French: [ɡijom dypɥitʁɛ̃] ; 5 October 1777 – 8 February 1835) was a French anatomist and military surgeon .
Dupuytren's contracture does run in families, but is also associated with diabetes, smoking, seizure recurrence and other vascular disorders. Dupuytren's does not need any treatment as the condition can resolve on its own. However, if finger function is compromised, then surgery may be required.
Prairie Doc columnist Andrew Ellsworth tells a little about a new treatment option for Dupuytren's contracture.
In adjunct with surgery, refractory muscle contracture can also be treated with Botulinum toxins A and B; however, the effectiveness of the toxin is slowly lost over time, and most patients need a single treatment to correct muscle contracture over the first few weeks after surgery. [21] Shortening of the surgically lengthened muscle can re-occur.
[3] [4] A similar disease is Dupuytren's disease, which affects the hand and causes bent hand or fingers. As in most forms of fibromatosis, it is usually benign and its onset varies with each patient. [5] The nodules are typically slow growing [2] [5] and most often found in the central and medial portions of the plantar fascia. [2]
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