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dupuytren physiotherapy

L Walle, B Hohendorff, T Pillukat, J van Schoonhoven
OBJECTIVE: Closure of a palmar soft tissue defect of the proximal phalanx after limited fasciectomy in recurrent Dupuytren's contracture. INDICATIONS: A palmar soft tissue defect between the distal flexion crease of the palm and the flexion crease of the proximal interphalangeal joint (PIP) after limited fasciectomy in Dupuytren's contracture. CONTRAINDICATIONS: Scars at the lateral-dorsal portion of the proximal phalanx (e.g., after burns)...
February 2016: Operative Orthopädie und Traumatologie
S Mehta, H J C R Belcher
BACKGROUND AND AIM: The options for treating patients with Dupuytren's contracture have broadened with the introduction of collagenase. Although the literature would suggest that collagenase treatment is effective, has few complications and is popular with patients, it has not been widely commissioned by the National Health Services of the United Kingdom and other European countries due to concerns about cost. The aim of this study was to compare the cost of surgical fasciectomy to collagenase injections for the treatment of Dupuytren's contracture in a single centre...
March 2014: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Rafael Sanjuan Cerveró, Nuria Franco Ferrando, Jaime Poquet Jornet
BACKGROUND: Our purpose was to analyze and compare the use of direct health resources and costs generated in the treatment of Dupuytren's contracture using two different techniques: subtotal fasciectomy and infiltration with Collagenase Clostridium Histolyticum (CCH) in regular clinical practice at the Orthopedic and Traumatology Surgery (OTS) Department at the Hospital de Denia (Spain). METHODS: Observational, retrospective study based on data from the computerized clinical histories of two groups of patients- those treated surgically using a one or two digit subtotal fasciectomy technique (FSC) and those treated with CCH infiltration, monitored in regular clinical practice from February, 2009 to May, 2012...
2013: BMC Musculoskeletal Disorders
Matthew K T Seah, Lorraine Harry, Dominique Davidson
In patients presenting to our unit with recurrent or aggressive Dupuytren's disease (DD), we favour the technique of radical excision and resurfacing popularised by Logan, who has described its use for the ulnar two digits of the hand at the same operation.(1) In patients in whom dermofasciectomy may be indicated in three or more digits, we have previously advised patients that the quality of the surgical attention and the post-operative physiotherapy might be better delivered by a staged approach. However, we demonstrate here with a case report that the technique can have excellent outcome when used for three digits at the same time...
2012: Hand Surgery
Bionka M Huisstede, Marienke van Middelkoop, Manon S Randsdorp, Suzanne Glerum, Bart W Koes
OBJECTIVES: To provide an evidence-based overview of the effectiveness of conservative and surgical interventions for trigger finger, Dupuytren's, and De Quervain's diseases. DATA SOURCES: The Cochrane Library, PEDro, PubMed, Embase, and CINAHL were searched to identify relevant studies. STUDY SELECTION: Two reviewers independently applied the inclusion criteria to select potential relevant studies from the title and abstracts of the references retrieved by the literature search...
February 2010: Archives of Physical Medicine and Rehabilitation
Deborah A Schwartz
The Evelyn Mackin Traveling Hand Therapist Award is a new award established in 2004 by the American Hand Therapy Foundation. This award was named in honor of Evelyn Mackin, a distinguished leader in hand therapy rehabilitation. Ms. Mackin enthusiastically endorses worldwide networking among hand therapists. She strongly believes in the value of sharing knowledge and technical skills. This award enables members of the ASHT to travel, learn new concepts or skills, and share them with the American hand therapy community...
July 2006: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
A Bayat, D A McGrouther
Dupuytren's disease is a progressive fibroproliferative disorder of an unknown origin affecting the hands causing permanent flexion contracture of the digits. Significant risk factors for development of Dupuytren's disease include old age, male sex, white northern European extraction, presence of positive family history of Dupuytren's disease, and diabetes mellitus. The disease also seems to deteriorate rapidly in those cases showing young age of onset and additional fibromatosis affecting the back of the hands, soles of the feet and the penis...
January 2006: Annals of the Royal College of Surgeons of England
K Hasselbacher, S Bleuel, B Landsleitner Dagger
BACKGROUND: Palmar arthrolysis of the proximal interphalangeal joint is seldom carried out as an isolated treatment of contractures. The operation is usually performed in connection with treatment for a primary illness. Although intra-operative extension of the interphalangeal joint is normally completely achieved, the postoperative results show deficiencies in the extension. METHODS AND CLINICAL MATERIAL: The long-term results of 110 arthrolyses of the proximal interphalangeal joint of 102 patients are presented...
November 2002: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
C Lekholm, G Sundkvist, G Lundborg, L Dahlin
Diabetes mellitus is common in Western countries. Secondary complications in various organs occur after type 1 as well as type 2 diabetes. Complications, such as nephropathy, retinopathy and neuropathy, are well known. Specific efforts to treat complications in the lower leg--"the diabetic foot"--have been emphasized. Various complications to diabetes occur also in the upper extremity and hand--"the diabetic hand"--and include not only more specific diabetic-related conditions like limited joint mobility but conditions related to the non-diabetic hand, such as trigger finger, Dupuytren's contracture and peripheral nerve compression lesions are also seen...
January 24, 2001: Läkartidningen
E Noël, T Thomas, T Schaeverbeke, P Thomas, M Bonjean, M Revel
Stiffness is a consistent but nonspecific symptom of primary frozen shoulder, a condition defined by restriction of passive motion in all planes without glenohumeral abnormalities on plain radiographs. Since the first description by Duplay in 1872, theories and descriptions of the lesions have varied over time and across authors, with the main target of the condition being reported as the subacromial bursa in some studies and the rotator interval in others. Recent publications have pointed out similarities with Dupuytren's contracture...
2000: Joint, Bone, Spine: Revue du Rhumatisme
A Ekelund
Frozen shoulder (adhesive capsulitis) affects 2-5 per cent of the population, but is most common in the 40-60-year-old age group. The disorder is divided into three phases, the painful, the stiff and the recovery phases. In most cases the condition is self-limiting with negligible residual manifestations, though its average duration is about 30 months. New findings suggest frozen shoulder to be a Dupuytren-like disorder. Pain relief and physiotherapy are usually sufficient, but in more severe cases manipulation with the patient under anaesthesia, possibly combined with distension arthrography or arthroscopic release, may yield rapid improvement in shoulder function...
November 25, 1998: Läkartidningen
D L Shaw, D I Wise, W Holms
The results of long-term follow-up (range 9-19 years) are presented in a continuous series of patients treated for Dupuytren's contracture by one surgeon using the open palm technique. Mean preoperative total range of movement was 48% rising to 96% postoperatively. Mean total range of movement was 92% at follow-up. Survivorship analysis revealed 86% survival at 10 years and 77% survival at 19 years. There was one digital nerve injury and one case of algodystrophy. This technique gives good long-term results without the use of night splintage or physiotherapy...
August 1996: Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand
G Norotte, A Apoil, V Travers
Fifty-eight patients (52 males and 6 females) operated on for Dupuytren contracture were examined by the same author with a more than ten year follow-up. At time of surgery the average was 55 years old. 69 hands (169 fingers) rated 4.33 according to the simplified Tubiana's score were treated by the same operative procedure: Mac Indoe's incision, digital Z plasty (if needed), subtotal fasciectomy and physiotherapy beginning 8 days postoperatively. At long term, recurrence appears for 49 hands (71%) one every two in the two first postoperative years, one out of five after five years...
1988: Annales de Chirurgie de la Main: Organe Officiel des Sociétés de Chirurgie de la Main
E C Bellonias, J D Nancarrow
Following trauma, two Caucasian males presented with Dupuytren's contracture affecting the distal interphalangeal joint of the little finger and extending onto the dorsum of the digit to insert into the nail bed. Complete excision of the cords and appropriate physiotherapy helped the patients achieve excellent postoperative results.
November 1991: British Journal of Plastic Surgery
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