Diagnosis. In most cases, doctors can diagnose Dupuytren’s contracture by the look and feel of your hands. Other tests are rarely necessary. TERMIUM® is the Government of Canada’s terminology and linguistic data bank. La enfermedad de Dupuytren es causa de incapacidad funcional secundaria a fibrosis de la fascia palmar y contractura en flexión de los dedos, con la.

Author: Daimi Tuzilkree
Country: New Zealand
Language: English (Spanish)
Genre: Politics
Published (Last): 7 October 2013
Pages: 311
PDF File Size: 6.51 Mb
ePub File Size: 8.79 Mb
ISBN: 802-3-55528-671-9
Downloads: 88726
Price: Free* [*Free Regsitration Required]
Uploader: Mogal

The New York Times.

Iberolatinom,32 2: However, it is also used at other stages. A total of about 5 to 10 ml is injected per ray. A structured review of published studies”. If the hand cannot be placed completely flat on the table, leaving a space between the table and a part of the hand as big as the diameter of a ballpoint penthe test is considered positive and surgery or other treatment may be indicated.

Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Chirurgie de la main. The main advantage to surgery is that it results in a more complete and longer-lasting release than that provided by the needle or enzyme methods. Symptoms and Treatment Options. American Academy of Orthopaedic Surgeons. Living Textbook of Hand Surgery.

Dupuytren’s disease, Viking disease, [1] contraction of palmar fascia, palmar fascial fibromatosis, palmar fibromas [2]. The main function of the palmar fascia is to increase grip strength; thus, over time, Dupuytren’s contracture decreases a person’s ability to hold objects.

Segmental fasciectomy involves excising part s of the contracted cord so that it disappears or no longer contracts the finger. Thick cords may develop from the palm into one or more fingers. A synthesis of techniques”. Treatment is indicated when the so-called table top test is positive.


Normally, the palmar fascia consists of collagen type Ibut in Dupuytren sufferers, the collagen changes to collagen type IIIwhich is significantly thicker than collagen type I.

Dupuytren’s Contracture

Punctuation can enhance your search as well. Archived from the conrtactura on 13 May Dupuytren’s contracture causes a progressive loss of hand function, being surgery the treatment of choice. After the treatment a small dressing is applied for 24 hours, after which people are able to use their hands normally.

No splints or physiotherapy are given. Avoid capitalization and conjunctions like “the,” “and,” “or,” or “in. This page was last edited on 18 Novemberat Typically, Dupuytren’s contracture first presents as a thickening or nodule in the palm, which initially can be with or without pain. This content is reviewed regularly and is updated when new and relevant evidence is made available. 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 congractura a 10 ml syringe.

Dupuytrens Contracture – Symptoms and Treatment – The Hand Society

In a MCP joint contracture the needle must be placed at the point of maximum bowstringing of the palpable cord. The tension on the cords is crucial, because tight constricting bands contratura most susceptible to be cut and torn by the small nicks, whereas the relatively loose neurovascular structures are spared.

It is difficult to predict how the disease will progress.


The collagenase is distributed across three injection points. After 24 hours the person returns for passive digital extension to rupture the cord. The most common finger to be affected is the ring finger; the thumb and index finger are much less often affected.

Tratamiento no quirúrgico de la contractura de Dupuytren con colagenasa de Clostridium hystoliticum

Recurrence rates are high. Writing tools A collection of writing tools that cover the many facets of English and French grammar, style and usage. A third approach emphasizes early self-exercise and stretching.

People usually require months of intensive physical therapy afterward. This content does not have an English version. El tratamiento con colagenasa de Clostridium histolyticum corrige totalmente la contractura de Dupuytren sin manifestar efectos secundarios de relevancia, ni recidivas a contdactura 6 meses. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Although splinting is a widely used post-operative intervention, evidence of its effectiveness is limited, [57] leading to variation in splinting approaches. It is less invasive than the limited fasciectomy, because not all the diseased contrqctura is excised and the skin incisions are smaller.

Retrieved from ” https: Nederlands tijdschrift voor geneeskunde. Most of the diseased tissue is removed with these procedures.