Concluded Case

#DUPUYTREN'S CONTRACTURE. SUGGEST YOUR OPINION Dx?? And Rx??

48 year old male Dupuytren's contracture is a hand deformity that usually develops over years. The condition affects a layer of Tissue that lies the under the skin of your Palm of hand . Knot's of Tissue form under the skin , eventually creating a Thick cord that can pull one or more fingers into a bent position. Vitals TEMP - 97.6 BP - 127/81 MMHG SPO2 - 96 / 98%. HR - 89 PER MIN

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Dupuytrens contracture Adv Physiotherapy Surgery caused further aggravation of fibrosis and progression of disease

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Palmar Fibromatosis.. A gradual thickening and tightening of tissue under the skin in the hand. The condition most often affects the 4th (ring) and 5th (little) fingers. ** Surgery. This is the most common treatment used for advanced cases. ... ** Steroid shot (injection). If a lump is painful, a steroid injection may help ease the pain. ... ** Radiation therapy. ... ** Enzyme injection. ...

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Definitely Dupuytrens contracture Little finger worst affected To prevent recurrence, need a thorough work All the 4 slips to fingers except thumb need to be divided A segment to be removed to be sure Releasing contracture will lead to skin gaping So skin incision to be Zig zag as practiced by plastic surgeons

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Dupuytrens contracture Adv Physiotherapy Surgery caused further aggravation of fibrosis and progression of disease

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Physiotherapy , Plastic surgeon’s opinion Tight control diabetes and total abstinence Alcohol and Smoking.

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48/M..characteristics flexion contracture Dupuytrens Disease. two fibrotic structures forms nodules and cords at palmar aponeurosis and extends to digits. skin dimpling seen. grade 3:presence of flexion contracture stage 3:residual phase. clinical sign: flexion finger deformity thining of subcutaneous tissue. skin pit. painless cords at base of flexion fingers. treatment: non operative:braces..sos physiotherapy operative:Fasciectomy.

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Plastic surgery advised with physiotherapy

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Dupuytrens contracture

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Physiotherapy Or Surgery

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Yes Doctor. It is Duputyrens contracture And I do appreciate the rare case which you have presented with such a simple yet effective Language

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Agree@Dr. Dineshchandra Sharma

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