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Dupuytren's contracture

 

What is Dupuytren's contracture?

Dupuytren's contracture is a hand disorder in which the fingers bend toward the palm and cannot be straightened. The little and ring fingers are most commonly affected but all the fingers can be involved. Dupuytren's contracture progresses slowly and is usually painless. In patients with this condition, the tissues under the skin on the palm of the hand thicken and shorten enough that the tendons connected to the fingers cannot move freely. The affected fingers start to bend more and more and cannot be straightened.

Dupuytren's disease is currently called a Viking disease on the assumption that the disease was spread to Europe and the British Isles during the Viking Age of the 9th to the 13th centuries. From a literature search, it is proposed that Dupuytren's disease existed in Europe earlier than the Viking Age and originated much earlier in prehistory. Approximately 5-15% of males older than 50 years are affected.

What caused it?

There is a layer of tissue, called fascia, under the skin of the palm which helps keep the the skin from sliding around when you grip things. In some people, this tissue shrinks, and pulls on the skin and on the fingers.

How is it treated?

This is a surgical disease. Splints, steroid injection, x-ray and aggressive hand therapy are of no help in the control or reversal of the contracture process. Normal function can be restored only by removing the diseased fascia, releasing the tight ligaments, and lengthening the contracted skin. Painless lumps and knuckled pads seldom require treatment.

 

Kurt's latest contracture release, December 16th 2002:

WARNING

Pictures are very graphic and should not be viewed by any children, nor anyone who cannot stand the sight of blood.
 Scroll down to view at your own risk!

 

 

 

 

 

 

 

 

 

 

Click image for larger view


Day 0


Day 3

Day 7

Day 11

Day 16

Day 24

Day 33

Day 40

Hand Based Dynamic PIP
Joint Extension Splint
with Outrigger

Day 47


 

More pictures will be posted as time elapses.

 

[Click Here] for photos of 2010 procedure on right hand

 

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Contact Information: Kurt M. Klotz
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