Antiaging Group Barcelona
You are at: Antiaging Group Barcelona » Treatments » Dupuytren’s Contracture
Dupuytren’s Contracture
This disease affects the palm of the hands. Also it can happen at the feet (Lederhose’s disease) and at the penis (Peyronie). It is more frequent in men, especially manual workers and it usually has a family inheritance. It affects more in the fingers annular and little finger and more seldom in thumb.
It consists of a thickening of the palmar fascia. The palmar fascia is a fibrous structure that is exactly under and in intimate contact with the skin, and it covers the deep structures of the hand (tendons, vessels and nerves). First of all some nodules turn up in the palm of the hand. These nodules are fixed to the skin and keep on joining until they form a band, which seems a very superficial tendon. This band shortens and ends up deforming the fingers, which are bent. The severity of the condition is in the fingers depending on the degree of flexion that it causes.
The treatment is surgical and is indicated when the articulations start to bend and the patient can completely not pull the finger. It consists to removing the ill fascia (fasciectomy). The operation is more difficult how more flexioned the finger is and more time the disease is present. It does not require stay in the hospital. The results are good in most of the cases.
After taking off the stitches a very intense physiotherapy has to start to win all the movement of flexoextension. In very severe cases it can be that the interphalangeal joint does not achieve the whole range of movement again because of the affectation of the volar plate or the shortening of the flexor tendons.
Leave a comment
Post comments This post comment feed
Published on 31-07-2010 by Dr. Benito
In the category Treatments
With tags: treatments-reconstructive-surgery
More articles by: Dr. Benito
Featured treatments
Facial rejuvenation 360
Combination of 3 medical technologies to rejuvenate the face, improving color, texture and tightening. read more »
Detox 28 Plan: Healthy nutrition
Featured from Blog
Buttocks augmentation for men and women
Buttock augmentation is a very common operation in South American countries and is becoming more… »
Get the 2011 Guide on Breast Augmentation
About our 1st (free) guide on breast augmentation, which is available only in Spanish. »
Doctor, I have sagging breasts: mastopexy
Doctor, I have sagging breasts: mastopexy. Only available in Spanish. »
Implant profiles in breast augmentation
Many of our patients for breast augmentation ask about the profiles of the implants. What is the… »
07 / Sep
SANGUINETTI G MARIA said…
Buenas tardes
es la tercera vez que me van a operar de un problema en el pie llamado LEDERHOSE es repetitivo en cuadro 2007, 2008 y ahora 2010.
No soy diabetica, no fumo no tomo alcohol, quisiera saber a que se debe. Tengo 55 años y mi sobrino de 33 tuvo lo mismo a el lo operaron 2 veces. Espero vuestros comentarios. Muchas gracias.
07 / Sep
AGB said…
Hola María
Muchas gracias a ti por visitar nuestra web y dejarnos un comentario. Efectivamente, Lederhose es la forma en el pie de la enfermedad de Dupuytren. Además de las causas que menciona, hay un componente genético evidente. No se conoce la causa y desgraciadamente puede volver a aparecer tras la cirugía.
Un cordial saludo,
Dr. Benito
13 / Nov
Angeles said…
Hola,estoy operada por tres veces de la mano derecha,una de la izquierda y hace 15 dias de la planta del pie.No soy fumadora ni tomo alcohol, tampoco antecedentes familiares.He leido del Nuevo tratamiento con colagenasa.Puede informarme?Debo tratarme de Nuevo una mano.
14 / Nov
AGB said…
Hola Ángeles,
No tenemos experiencia en el uso de colagenasa. Lo que hacemos nosotros es romper el tejido cicatricial e inyectar tejido adiposo. Éste es un tratamiento descrito recientemente pero que parece reducir las recidivas a largo plazo. Para el tratamiento de colagenasa le recomiendo que contacte con el Dr. Angel Ferreres del Institut Kaplan de Barcelona,
Un cordial saludo,
Dr. Benito
20 / Nov
BEATRIZ said…
MI MARIDO TIENE EN AMBAS MANOS LOS DEDOS CASI TOCANDO LA PALMA DE CERRADOS, LE COMENZO ESTE PROBLEMA HACE 30 AÑOS ,EN UNA MANO .HOY LE DUELEN MUCHO LAS MUÑECAS .ANA
21 / Nov
AGB said…
Hola Beatriz,
La solución es quirúrgica. Primero se opera una mano y cuando esté recuperado, la otra. Tendría que verle en la consulta para determinar lo que hay que hacer, en cualquier caso. Si le interesa puede llamarnos al 93 252 23 49.
Un cordial saludo,
Dr. Benito