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Dupuytren's Contracture
Alternate Names : Dupuytren's Disease, Palmar Fasciitis, Palmar Fibromatosis, Viking Disease
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What are the treatments for the condition?
Treatment involves observation at first when the process is in the early stages. Injection of a corticosteroid medication into the nodule may help the tenderness and delay the progression of the disease. Surgery to divide the cords and remove scar tissue allows the fingers to straighten. Surgery is usually recommended when the contracture is significant or when the hand cannot be placed flat on a table.
What are the side effects of the treatments?
During surgery, the small nerves and blood vessels to the fingers are at risk of injury. Bleeding under the skin may occur. Infection is possible after any operation.
What happens after treatment for the condition?
After surgery, hand therapy is very important to maintain the range of motion of the fingers, regain and preserve strength, and minimize swelling.
How is the condition monitored?
The disease is monitored by observing for increased bending of the fingers, which indicates progression of the disease. Recurrence is common.
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Author: John A.K. Davies, MD Reviewer: Donna Lester, RN, PHN, BSN, CCM Date Reviewed: 06/01/01
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