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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Published online Feb In the case of a shortage of skin, the transverse part of the zig-zag incision is left open. Received Mar 11; Accepted May Enzyme duphytren as nonsurgical treatment of Dupuytren’s disease.
Description Morbus dupuytren fcm. In the present study, which is in agreement with the duouytren, a high prevalence of risk factors was observed, such as advanced age mean Original Article Open palm technique in Dupuytren’s disease treatment.
The surgical technique used was previously described by McCash. During the first weeks after surgery the splint may be worn during daytime.
The condition affects more men than women ranging from 7: This section needs additional citations for verification. The Journal of Hand Surgery.
Table 2 shows the results of the tests. Minimally invasive therapies may precede higher recurrence rates.
File:Morbus dupuytren fcm.jpg
The following other wikis use this file: In addition, contrtaura observed the complete correction of flexion deformities of the proximal interphalangeal and metacarpophalangeal joints. Published by Elsevier Editora Ltda.
In all patients, the surgical technique used was that recommended by McCash, with transverse incision in the distal palmar crease, associated with a modification with proximal and distal longitudinal incisional extensions on the palm.
Retrieved from ” https: Inone of the authors 18 MCM published a study of 10 patients total of 16 hands with Dupuytren’s disease who underwent surgery using the open palm technique; that study demonstrated results similar to those presented herein. Of coexisting diseases, the following were present: Postoperative care involves hand therapy and splinting.
We conclude that the open palm technique is a safe option to treat Dupuytren’s disease and that it offers satisfactory results with low complication rates.
Open palm technique in Dupuytren’s disease treatment
Its etiology is still unknown, but the importance of heredity was proved, because of the high incidence in the descendents of northern Europe. Most doctors do not value those treatments. In three digitus annularis and three little fingers, the flexion deformity of the proximal interphalangeal joint was due to a disease nodule located at the proximal digital crease.
The anatomopathologic aspect is that of an aggressive lesion, displaying a large number of cells and conrtatura. Of these, 54 National Center for Biotechnology InformationU. Disease with gradual bending of the fingers due to scar tissue dupytren up within the palms. When a comparison was performed between people aged 55 years and older versus under 55 years, contrautra was a statistically significant difference at both MP and PIP joints, with greater correction maintained in the dupuytre group.
An analysis of patient charts”. With this test, the person places their hand on a table. The authors believe that this proportion is due to the small number of cases, which did not allow a statistical study. The differential diagnosis includes acamptodactilia, rheumatoid arthritis, retraction of the scar caused by burn or injury, palmar callus of effort, and ulnar nerve deficit.
A technique introduced in is extensive percutaneous aponeurotomy with lipografting. The cords are placed under maximum tension while they are cut. Retrieved 12 March These cells agglomerate, forming a dense concentration aligned with the tension lines, known as the involutive stage, to finally be replaced by a firm collagen tissue with myofibroblasts disappearance and cord formation, characterized as the residual stage.
Received Jul 16; Accepted Aug dupyutren