S/P Dupuytrens Release
$74.97
Definition:
Dupuytren's contracture (also known as morbus Dupuytren, Dupuytren's disease or palmar fibromatosis) is a fixed flexion contracture of the hand where the fingers bend towards the palm and cannot be fully extended (straightened). It is an inherited proliferative connective tissue disorder which involves the palmar fascia of the hand. After the incision is made, all diseased cords and fascia are excised. The excision of the cords and fascia has to be very precise to spare the neurovascular bundles. When all the tissue has been removed, the surgeon closes the skin. Stitches are removed 10 days after surgery.
Symptoms- Can not fully extend finger
- Usually 3rd, 4th, 5th finger
- Difficulty gripping objects
Causes- Unknown, but the following are risk factors:
- People of Scandinavian or Northern European ancestry
- Men rather than women
- Over the age of 40
- Family history
- Liver cirrhosis
Treatment- Splint for finger extension
- Massage to reduce swelling
- Passive ROM and active ROM
- Upper extremity stretching
- Tendon glide
- Hand intrinsic muscle strengthening
- Grip strength
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