Dupuytren's Contracture
24 Kasım 2023
Dupuytren's Contracture
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Dupuytren's Contracture, is a condition characterized by the thickening and tightening of the connective tissue between the palm and fingers, resulting in abnormal thickening of the structure (fascia) that lies just beneath the palm skin and serves to protect the tendon, nerve, and vascular structures passing underneath. This condition can lead to bending and limited movement in one or more fingers.

The thickening of the fascia begins in the palm and extends towards the fingers. In the advanced stages of the disease, there are bends of the fingers towards the palm, and nodules, which are some hardness in the skin, may appear. Dupuytren's Contracture is generally a progressive condition, and over time, the degree of finger bending may increase. It is more commonly observed in middle-aged and older men. Early diagnosis and treatment can slow the progression of the disease and preserve hand function.

Symptoms of Dupuytren's Contracture:

  • Firm nodules beneath the palm or fingers
  • Bending of one or more fingers (especially the index, middle, and ring fingers)
  • Inability of the finger to fully straighten and limited movement
  • Loss of function in the hand, making daily activities difficult

Causes of Dupuytren's Contracture:

  • Genetic predisposition
  • More common in middle-aged and older men
  • Risk factors such as alcohol consumption and smoking
  • Associated with certain medications and health conditions

Treatment of Dupuytren's Contracture:

  • Observation in the early stages if symptoms are mild
  • Hand exercises and physical therapy
  • Injection therapy (collagenase)
  • Surgical intervention (fasciectomy) when necessary
Dupuytren's Contracture
Shortening of the Hand
Hand Curling
Connective Tissue Disease
Hand Functions
Dupuytren's Treatment
Fasciectomy
Hand Exercises
Injection Therapy
Middle-Aged Men
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