La contractura de Dupuytren origina una pérdida progresiva de la función de la mano. Su tratamiento de elección es quirúrgico. La inyección. La enfermedad de Dupuytren es causa de incapacidad funcional secundaria a fibrosis de la fascia palmar y contractura en flexión de los dedos, con la. Learn more about La Contractura de Dupuytren at Hermitage Primary Care DefiniciónCausasFactores de riesgoSíntomasDiagnósticoTratamientoPrevenció.. .

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A structured review of published studies”. Plastic and Contractua Surgery. Plantar Nodular Necrotizing Eosinophilic. Accessed 21 March For one week the hand is protected with a dressing. The main function of the palmar fascia is to increase grip strength; thus, over time, Dupuytren’s contracture decreases a person’s ability to hold objects.

New England Journal of Medicine ; New England Journal of Medicine. By using this site, you agree to the Terms of Use and Privacy Policy. Causas Las causa exactas son desconocidas.

The cords are placed under maximum tension while they are cut. About Us Contact Us Location. Besides hand therapy, many surgeons advise the use of static or dynamic splints after surgery to maintain finger mobility. This d showed that NA is a safe procedure that can be performed in an outpatient setting.

Dupuytren’s contracture – Wikipedia

In extreme cases, amputation of fingers may be needed for severe or recurrent cases or after surgical complications.


Gender differences were not statistically significant. American Society for Surgery of the Hand. Not to be confused with Dupuytren fracture. Typically, Dupuytren’s contracture first duluytren as a thickening or nodule in the palm, which initially can be contrractura or without pain. Hurst y Marie A.

A synthesis of techniques”. During the procedure, the person is under regional or general anesthesia. This section needs additional citations for verification.

Ligamentopathy Ligamentous laxity Hypermobility. The term diathesis relates to certain features of Dupuytren’s disease and indicates an aggressive cotractura of disease. Retrieved 3 June Moderate pressure for 10—20 seconds ruptures the cord.

La Contractura de Dupuytren

Call Hermitage Primary Care at People start bending and extending their fingers as soon as the anesthesia has resolved. Initial treatment is typically with steroid injections into the affected area and physical therapy.

In one study, those with stage 2 of the disease were found to have a slightly increased risk of mortality, especially from cancer. This content does not have an Arabic version.

The hand and arm are elevated with a sling. After surgery people wear a light pressure dressing for four days, followed by an extension splint. They wear an extension splint for two to three weeks, except during physical therapy.

Otro medicamento que puede inyectarse se llama colagenasa de Clostridium Histoliticum Xiaflex. Studies have been conducted for percutaneous release, extensive percutaneous aponeurotomy with lipografting and collagenase. While typically not painful some aching or itching may be present. The main advantage to surgery is that it results in a more complete and longer-lasting release than that provided by the needle or enzyme methods.


Minimally invasive therapies may precede higher recurrence rates. The Journal of hand surgery, European volume. If the hand lies completely flat on the table, the test is considered negative.

D ICD – See Wikipedia’s guide to writing better articles for suggestions. Iliotibial band syndrome Patellar tendinitis Achilles tendinitis Calcaneal spur Metatarsalgia Bone spur. La contractura de Dupuytren es un engrosamiento de la fascia de la palma de la mano. Se desconoce su causa. Therapeutics and Clinical Risk Management.

Diagnosis In most cases, doctors can diagnose Dupuytren’s contracture by the look and feel of your hands. Archived from the original on March 18, El tratamiento con colagenasa de Clostridium histolyticum corrige totalmente la contractura de Dupuytren sin manifestar efectos secundarios de relevancia, ni recidivas a los 6 meses.

Request an Appointment at Mayo Clinic. Archived from the original on October 29, Additionally, finger joints may become fixed and rigid. Chirurgie de la main. The main categories listed by the International Dupuytren Society in order of stage of disease are radiation therapyneedle aponeurotomy NAcollagenase injection and hand surgery.

Trouble preparing food or writing [2].