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Dupuytren contracture, also known as Dupuytren's disease, affects the tissue layer beneath the skin in the palm due to abnormal thickening and tightening (Dupuytren's fibrosis or palmar fibrosis). This condition is characterised by the curling of little and ring fingers towards the palm. While the exact cause is unknown, genetic factors are significant. Risk factors include a family history, repetitive hand movements, smoking, alcohol use, diabetes, and Northern European descent.
At Apollo Hospitals Mysore, Dupuytren contracture is treated by a team of Dupuytren's disease specialists who use effective therapies to manage this condition. With their advanced diagnostic facilities, infrastructure, and best Dupuytren's syndrome specialists ensure accurate diagnosis and comprehensive treatment plans.
Dupuytren contracture or palmar fibromatosis, typically progresses through three stages:
Nodular Stage: Small, painless lumps or nodules develop in the palm, typically near the base of the fingers.
Cord Stage: Nodules form thick cords that extend to the fingers, causing them to bend towards the palm and restricting movement.
Contracture Stage: The cords tighten further, significantly bending the fingers towards the palm and severely impairing hand function and daily activities.
Symptoms of Dupuytren contracture include:
Painless lumps or nodules in the palm
Development of thick cords in the palm and fingers
Gradual bending of fingers towards the palm
Difficulty laying the hand flat on a surface
The presence of skin pits or grooves on the palm
Diagnosis of Dupuytren contracture is primarily based on a physical examination and patient history, including:
Physical Examination: The doctor examines your hands and fingers for nodules, thickened skin, and bent fingers to assess the extent of tissue thickening and finger contraction.
Table Top Test: This test checks if you can place your hand completely flat on a surface. The inability to do so indicates the presence of contracture.
Finger Bend Test: This test assesses how much your finger can bend or straighten, helping to determine the severity of the condition.
Grip Strength: The grip strength test measures the force with which the patient can grasp and hold an object. This helps to assess the overall strength and function of the hand and fingers.
At Apollo Hospitals Mysore, the palmar fibromatosis treatment specialists offer a range of customised treatment options for the condition, including:
Non-Surgical Treatment: Alternative approaches such as stretching exercises, steroid injections, and enzyme injections aim to improve finger mobility and alleviate inflammation.
Surgical Treatment: Best palmar fibrosis surgeon may advise surgical interventions, including fasciotomy, where a palmar fibrosis surgeon cuts the cords to alleviate the contracture.
Fasciectomy: The best fasciectomy specialists entail removing the thickened tissue to enhance finger mobility in severe cases.
Dermofasciectomy: This procedure involves removing both the thickened tissue and skin to reduce the likelihood of recurrence.
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H1 | Abacavir: Uses, Dosage, Side Effects, and More |
H2 | What is Abacavir? |
H2 | Uses of Abacavir |
H2 | Dosage and Administration |
H3 | Important Considerations |
H2 | Side Effects |
H3 | Common Side Effects |
H3 | Serious Side Effects |
H2 | Interaction with Other Medicines |
H3 | Benefits of Abacavir |
H2 | Frequently Asked Questions |
H2 | Brand Names |
H2 | Conclusion |
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