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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Radiation therapy has been used mostly for early stage disease, but is unproven. Family historyalcoholismsmokingthyroid problemsliver diseasediabetesepilepsy [2] [4].

There are also conflicting reports about the disease in alcoholics.

Smoking, alcohol and the risk of Dupuytren’s contracture. The most common finger to be affected is dontratura ring finger; the thumb and index finger are much less often affected.

Análise epidemiológica dos pacientes com doença de Dupuytren

Therapeutics and Clinical Risk Management. Although splinting is a widely used post-operative intervention, evidence of its effectiveness is limited, [57] leading to variation in splinting approaches.

J Bone Joint Surg Br. Its etiology is still unknown, but the importance of heredity was proved, because of the high incidence in the descendents of northern Europe.

Plastic and Reconstructive Surgery. The digits are placed under maximal extension tension using a firm lead hand retractor.


Blackwell Scientific Publication; London: Archived from the original on March 18, A comprehensive review of the results of needle aponeurotomy in 1, fingers was performed by Gary M.

In the present study, which is in agreement with the literature, a high prevalence of risk factors was observed, such as advanced age mean Trouble preparing food or writing [2]. Health technology assessment Winchester, England. Boxes for the contratua angulation, according to the joint and by period. Clearly occurs a decrease in the angle of the joints in all patients after surgery. Most doctors do not value those treatments. Supplementary data The following are the supplementary data to this article: The open palm technique in Dupuytren’s contracture.

Journal List Rev Bras Ortop v. Journal of the British Society for Surgery of the Hand. Retrieved from ” https: However, none of these mechanisms has been clearly determined. This process, which is associated with the contracture capacity of these cells, results in the formation of nodules and cords in the palm and digital aponeuroses and in the development of flexion deformity of the proximal dupuygren and metacarpophalangeal joints, which together characterize Dupuytren’s disease.

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 survey of the attitudes to smoking in a district general hospital.


Open palm technique in Dupuytren’s disease treatment

Enzyme injection as nonsurgical treatment of Dupuytren’s disease. The authors evaluated parameters associated with the patient profiles and risk factors, the form and severity of involvement, and characteristics of the lesions.

The principles of surgical treatment of Dupuytren’s contracture. Hand NY ; 4 3: Furthermore, it has been suggested that alcohol may cause damage to adipose tissues by provoking a fibrotic response or altering prostaglandin production; however, none of these theories has been proven.

Severe Dupuytren disease may also be associated with frozen shoulder adhesive capsulitis of shoulderPeyronie’s disease of the penis, increased risk of several types of cancer, and risk of early death, but more research is needed to clarify these relationships. New York, NY [u. Compared to conservative treatment, the most promising therapy is the application of intrafocal clostridium collagenase in the cord, now in an advanced clinical trial phase.

The study of this association has become important at duputtren time when an increase in work-related illnesses is being observed.