Palmar Contracture
نویسندگان
چکیده
DESCRIPTION A 71-year-old right-hand-dominant retired man complains of inability to straighten the thumb, middle finger, and small finger of his left hand. This symptom has been progressively worsening over the past 2 or 3 years. On examination, the 3 affected digits cannot be fully extended, either passively or actively. There is a thick band of fibrous tissue tethering each digit in its contracted posture. The small finger has contracture at the metacarpophalangeal (MP), proximal interphalangeal (PIP), and distal interphalangeal (DIP) joints. The middle finger contracture is principally involving the MP joint. The thumb contracture involves the MP and IP joints.
منابع مشابه
Dupuytren's Contracture
DESCRIPTION Patient is a 65-year-old right-hand-dominant man. He presents with a 15-year history of progressive left small finger contracture with occasional palmar pain. On examination, he has a palpable palmar cord. Contraction of left small finger metacarpophalangeal (MP) joint was noted to be 60 • .
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Normal tendons, normal palmar aponeuroses and specimens from patients with Dupuytren's disease, namely apparently normal palmar aponeuroses and contracture bands were subjected to elastase and chondroitinase ABC digestion. Maximum Young's modulus, normalized hysteresis loop and residual elongation were determined before and after enzyme treatment. In normal tendons, normal and apparently normal...
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We present a case of successful salvage fasciectomy after initial collagenase Clostridium histolyticum (CCH) injection for the treatment of Dupuytren’s contracture. We did not find any remarkable scarring around the Dupuytren’s cord and nodule three and a half years after the initial CCH injection. Pathological findings revealed the previously ruptured cord and partial continuity of the collage...
متن کاملBiomechanical properties of normal tendons, normal palmar aponeuroses, and tissues from patients with Dupuytren's disease subjected to elastase and chondroitinase treatment.
Normal tendons, normal palmar aponeuroses and palmar aponeuroses from patients with Dupuytren's disease were subjected to elastase or chondroitinase treatment. Young's modulus was derived from the linear portion of stress-strain graph. It showed the lowest value for the apparently normal palmar aponeuroses and the highest value for tendon samples. Elastase treatment caused an increase of extens...
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A clinical case of documented hand infection, caused by a skin pit in a patient with Dupuytren's contracture is described.
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Contractile fibroblasts are believed to be responsible for palmar fascia contracture in Dupuytren's Disease. An in vitro collagen lattice model was used to examine the contractile properties of Dupuytren's fibroblasts from 10 patients undergoing partial fasciectomy, and palmar fascia fibroblasts from 6 patients undergoing carpel tunnel release. Dupuytren's and palmar fascia fibroblasts cultured...
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