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Dupuytren Disease (Contracture)

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Orthopedic Surgery Clerkship

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Abstract

Dupuytren disease occurs when normal fascial bands in the hand become pathologic nodules and cords (of collagen) creating flexion contractures. The stages range from skin changes through more severe joint and soft tissue contractures. During the physical exam, the patient places hand on table palm down to observe MCP or PIP contracture. Collagenase injections are a treatment option for nonoperative cases. Patients with MCP joint contractures of at least 30° and/or any PIP joint contractures with concomitant functional deficiency are surgical candidates. Hematoma and recurrence are the most common surgical complications.

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Author information

Authors and Affiliations

  1. Hand and Upper Extremity Center, The Ohio State University Wexner Medical Center, Columbus, OH, USA

    Steven R. Niedermeier MD & Hisham M. Awan MD

Authors
  1. Steven R. Niedermeier MD
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  2. Hisham M. Awan MD
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Corresponding author

Correspondence to Hisham M. Awan MD .

Editor information

Editors and Affiliations

  1. Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA

    Adam E. M. Eltorai

  2. Department of Orthopedic Surgery, Division of Pediatric Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

    Craig P. Eberson

  3. Department of Orthopaedic Surgery, Division of Spine Surgery, Rhode Island Hospital, Providence, Rhode Island, USA

    Alan H. Daniels

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© 2017 Springer International Publishing AG

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Niedermeier, S.R., Awan, H.M. (2017). Dupuytren Disease (Contracture). In: Eltorai, A., Eberson, C., Daniels, A. (eds) Orthopedic Surgery Clerkship. Springer, Cham. https://doi.org/10.1007/978-3-319-52567-9_36

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  • DOI: https://doi.org/10.1007/978-3-319-52567-9_36

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52565-5

  • Online ISBN: 978-3-319-52567-9

  • eBook Packages: MedicineMedicine (R0)

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