DUPUYTREN'S
CONTRACTURE
Dupuytren's
contracture is a hereditary thickening of the tough tissue,
called fascia, that lies just below the skin of your palm. This
condition may vary from small lumps or bands to thick bands,
which may eventually pull he fingers ino the palm. Dupuytren's
disease is familiall, and may be associated with cigarette
smoking, vascular disease, epilepsy and diabetes. The only
treament is surgical and is recommended if there is progressive
contracture drawing the fingers into the hand. Small nodules, or
lumps, in the palm do no need treatment until they are very
large and interfere with hand function. Even with successful
surgical removal, the bands may reappear in other fingers.
Treatment may consist of rest, activity modification,
medications or steroid injections. More severe cases may require
surgery. This can be done in an outpatient setting.
Dr.
Packman and Dr. Williams, your orthopedic surgeons, will advise
you of the advantages and the risks of the procedure. For your
safety we will be asking questions about your health and
performing a physical exam. If you have a major health problem,
you may be required to have additional studies or see your
family health provider. This will be done one to two weeks
before your surgery.
The day of surgery, you will report to the same day surgery
center accompanied by a person who will drive you home. After
surgery, you will have a splint and dressing on your wrist and
hand. Post operatively you will leave the dressing in place
until your first office visit. You can exercise your fingers
while the dressing is on.
Recovery is short
and you will return to work quickly, depending on the type of
work you do.
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