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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Material and methods This study retrospectively evaluated all of the 58 patients with Dupuytren’s disease treated at this hand surgery outpatient clinic in However, it is also used at other stages. Dupuytren’s disease, Viking disease, [1] contraction of palmar fascia, palmar fascial fibromatosis, palmar fibromas [2]. The difference with the percutaneous needle fasciotomy is that the cord is cut at many places.

Conclusion We conclude that the open palm technique is a safe option to treat Dupuytren’s disease contratuar that it offers satisfactory results with low complication rates.

If the hand lies completely flat on the table, the test is considered negative. Gradual onset in males over 50 [2]. The anatomopathologic aspect is that of an aggressive lesion, displaying a large number of cells and mitoses.

Open-palm technique and soft-tissue coverage in Dupuytren’s disease. From Wikipedia, the free encyclopedia. This high prevalence in elderly patients, especially group C, is in agreement with the literature and is due, among other factors, to the late development of hypertrophy and the absence of symptoms such as pain, itching, or functional dupjytren until the residual phase, when the cords promote finger flexion. The physiopathology of Dupuytren’s disease is still unclear; several theories have been postulated, such as the microangiopathic alteration of vascularization, as well as a metabolic alteration, due to long-term endocrinological diseases and the use of medications that may alter the individual’s metabolism.


This classification is divided into four stages: Myofibroblasts, a cell type described by Gabbiani and Majno 5have the morphological characteristics of fibroblasts and smooth muscle cells, and they are currently considered the determinant of Dupuytren’s disease. J Bone Joint Surg Am.

File:Morbus dupuytren – Wikimedia Commons

Living Textbook of Hand Surgery. Complications were rare except for skin tears, which occurred in 3. Support Center Support Center. To treat Dupuytren’s disease, the literature suggests several methods, including the local injection of agents such as calcium-channel blockers 9 verapamil and nifedipine 12 and lytic enzymes trypsin and hyaluronidase in combination with the placement of the fingers in forced extension to liberate the adherences.

National Health Service England. Surgery of Dupuytren’s disease: When necessary, another transverse incision was performed proximally to the first to facilitate the resection of the affected tissue. The Open Orthopaedics Journal. The open palm technique in Dupuytren’s contracture. The etiology of Dupuytren’s disease continues to be undetermined.


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This file contains additional information such as Exif metadata which may have been added by the digital camera, scanner, or software program used to create or digitize it. A third approach emphasizes early self-exercise and stretching. Results The wounds closed in an average period of 25 days, with a range of 17 to 30 days Table 1. Support Center Support Center. Therapeutics and Clinical Risk Cotnratura.

Journal of Bone and Joint Surgery. Steroid injectionsclostridial collagenase injections, surgery [4] [5]. J Hand Surg Am. Trouble preparing food or writing contratira.

We observed a similar distribution, with fingers IV and V being the most commonly involved. The Journal of Hand Surgery: Summary [ edit ] Description Morbus dupuytren fcm. Dupuytren contracture, Hand, Surgical procedures operative. The fat dupuytrdn results in supple skin.

Disease with gradual bending of the fingers due to scar tissue build up within the palms.

The early history of Dupuytren’s disease. Archived from the original on October 29, Journal of Clinical Epidemiology. Received Mar 11; Accepted May The timestamp is only as accurate as the clock in the camera, and it may be completely wrong.