Dupuytren’s contracture

is a condition of painless thickening of the tissues in the palm of the hand and fingers.

Dupuytren’s contracture

The condition causes contractures, or tightening of the tissues in the hand causing the fingers to become bent down and function of the hand is impaired.

The fingers curl up and the patient is unable to straighten them.

Usually affects males older than 40 years old and of European descent.

It usually affect the ring and the little finger.

General information:

Risk factors :

1) Alcoholism2) Epilepsy3) Diabetes4) Liver disease5) Heredity ( in some patients )

Symptoms:

Unable to straighten the fingers.

Cord like band in the palm.

Deformity develops slowly and rarely affects the distal Interphalangeal joint.

Bilateral in 50% of patients.

the tableTop test is a simple maneuver that can determine if there is contracture in the hand.

By laying the hand palm down on a tabletop the patient attempts to flatten the hand.

Being able to flatten the hand means that no contracture is present.

Test and diagnosis

tabletop test

Treatment

surgery

- surgery can be needling._ cut the cord or eclipse the cord. splinting

injection.

http://www.youtube.com/watch?v=-hdafYvrtJ8

video

When do we need to do surgery?

- indiction for surgery occurs when the MP joint is in 20 – 30 flexion contracture.

- or any degree of PIP flexion contracture.

Who will have a bad prognosis?

The disease is aggrieve and may occur again ._ young patient._ bilateral._ heredity._ involvement of the radial digits.

Orthopaedic Humor

I hate to admit it, but all those years of playing video games may have finally gotten the best of me!

Ahad AL-Qahtani.Noura AL-hatimAlanoud khalidSara Al-hazmiMoneerah AL-Muhaidib.Narjis bakkar Hadel Al-matbulyolaamenahfatimaEradah almarhoon

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