Dupuytren’s Contracture Disease: Causes, Symptoms, Diagnosis and Treatment

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Dupuytrens Contracture Disease
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Dupuytrens Contracture Disease

• Dupuytrens contracture is a disease which
  causes the abnormal thickening of the tissue just
  beneath the skin of the hand. The thickening of
  tissue begins in the palm and can spread up to
  the fingers. This condition may also be referred
  to as Dupuytrens disease. If Dupuytrens disease
  is left untreated it can cause the fingers to
  bend into the palm permanently. A patient of
  Dupuytrens contracture disease faces difficulty
  in washing or shaking hands and holding large
  objects. Dupuytrens contracture disease can
  occur in both the hands, but one hand is more
  affected than the other. 

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Causes of Dupuytrens contracture disease 

• The exact cause of Dupuytrens contracture
  disease is unknown. However, some risk factors
  can increase the chances of developing this
  disease if you 
• Have Diabetes
• Have epilepsy disorder
• Are male
• Are alcoholic
• Anyone in your family ever had this condition

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Symptoms

• The most common symptom of Dupuytrens
  contracture disease is the formation of lumps and
  pits within the palm. Other possible symptoms of
  dupuytrens contracture disease are 
• Thickness of skin
• Development of cords into one or more fingers
• Severely bent fingers
• Restricted movement of hands
• Difficulty in eating, wearing gloves, washing
  hands

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Dupuytrens Contracture Disease
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Diagnosis of Dupuytrens contracture disease 

• A doctor conducts a physical exam to diagnose
  dupuytrens contracture disease. In this physical
  examination, he checks the lumps or nodules
  formed in your hands. He will ask you to pinch,
  hold an object, or press something with force. To
  know more about the severity of the condition,
  you will be asked to perform a tabletop test this
  test involves putting the palm of your affected
  hand flat on a table. After this, a doctor will
  order an X-ray to get a detailed view of a
  bending bone.

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Treatments

• The treatment of dupuytrens contracture disease
  depends upon the severity of your
  symptoms. Non-surgical Treatment
• Anti-inflammatory medicines and steroid
  injections prescribed by the doctor may reduce
  the size of nodules and prevent further
  thickening of underneath the skin.
• Enzyme injections may be given a doctor if your
  hand is already bent. The enzymes injected into
  the hand can break down the tough tissue and
  straighten your fingers.

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Treatments
Continue

• Doing stretching exercises on a daily basis
  increases the flow of blood into your hand and
  may prevent contracture of the hand.
• If a patient does not get relief from
  non-surgical treatment than a Needle aponeurotomy
  procedure is performed. Needle aponeurotomy is
  a surgical procedure which breaks down and
  divides the defected tissue in the palm and
  fingers.

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