Discussion
It's 'Dupytren's' - scarring and fibrosis of the flexor sheath of the fingers causing progressive immobility and deformity. Usually correctable to some degree by surgery.
More common in diabetes and people who work with machinery such as road drills.
A proper hand surgeon will be along shortly to give some more accurate info.
More common in diabetes and people who work with machinery such as road drills.
A proper hand surgeon will be along shortly to give some more accurate info.
Thanks for that, at least I now know how to spell it!,
Anyway, I've got it, I knew that surgery could be done, but seeing I am the biggest baby in the world where surgery is concerned, I found out that there's an injection that can be done apparantly that can cure it, just wondered if anyone has any experience of it ?
Any help would be appreciated.
Anyway, I've got it, I knew that surgery could be done, but seeing I am the biggest baby in the world where surgery is concerned, I found out that there's an injection that can be done apparantly that can cure it, just wondered if anyone has any experience of it ?
Any help would be appreciated.
Only a few associations, a few more myths....
wikipedia said:
Dupuytren's contracture is a non-specific affliction, but primarily affects:
People of Scandinavian or Northern European ancestry;[3] it has been called the "Viking disease" or "Celtic hand",[4] though it is also widespread in some Mediterranean countries (e.g., Spain and Bosnia) and in Japan;[5]
Men rather than women (men are ten times as likely to develop the condition);[3]
People over the age of 40;
People with a family history (60% to 70% of those afflicted have a genetic predisposition to Dupuytren's contracture);[6]
People with liver cirrhosis.
Some suspected, but unproven, causes of Dupuytren's contracture include trauma, diabetes, alcoholism, epilepsy therapy with phenytoin, and liver disease. There is no proven evidence that hand injuries or specific occupational exposures lead to a higher risk of developing Dupuytren’s contracture, although there is some speculation that Dupuytren's may be caused by, or at least the onset may be triggered by, physical trauma such as manual labor or other over-exertion of the hands. However, the fact that Dupuytren's is not connected with handedness casts some doubt on this claim.
People of Scandinavian or Northern European ancestry;[3] it has been called the "Viking disease" or "Celtic hand",[4] though it is also widespread in some Mediterranean countries (e.g., Spain and Bosnia) and in Japan;[5]
Men rather than women (men are ten times as likely to develop the condition);[3]
People over the age of 40;
People with a family history (60% to 70% of those afflicted have a genetic predisposition to Dupuytren's contracture);[6]
People with liver cirrhosis.
Some suspected, but unproven, causes of Dupuytren's contracture include trauma, diabetes, alcoholism, epilepsy therapy with phenytoin, and liver disease. There is no proven evidence that hand injuries or specific occupational exposures lead to a higher risk of developing Dupuytren’s contracture, although there is some speculation that Dupuytren's may be caused by, or at least the onset may be triggered by, physical trauma such as manual labor or other over-exertion of the hands. However, the fact that Dupuytren's is not connected with handedness casts some doubt on this claim.
chrissy1942 said:
Thanks for that, at least I now know how to spell it!,
Anyway, I've got it, I knew that surgery could be done, but seeing I am the biggest baby in the world where surgery is concerned, I found out that there's an injection that can be done apparantly that can cure it, just wondered if anyone has any experience of it ?
Any help would be appreciated.
surgery is the definitive cure Anyway, I've got it, I knew that surgery could be done, but seeing I am the biggest baby in the world where surgery is concerned, I found out that there's an injection that can be done apparantly that can cure it, just wondered if anyone has any experience of it ?
Any help would be appreciated.
- often done as a day case under regional anaesthesia .
In the deep dark past I worked scrubside in theatres, one of the more pleasant duty allocations was friday morning hand lists - nice straightforward surgeries very rare to have a GA on the list, one surgeon one scrub nurse , 2 circulators and the consultant if the SHO / junior reg was operating
chrissy1942 said:
I found out that there's an injection that can be done apparantly that can cure it, just wondered if anyone has any experience of it ?
Any help would be appreciated.
I've had the injection. It works by breaking down the the tissue around the tendon. The surgeon then flexs your finger(s) and with a loud crack it frees up.Any help would be appreciated.
Quite a new procedure in the UK (a couple of years I think)
With me it restored about 50% of movement, my little finger is still stuck about 45 degrees (I can at least shake hands properly now) If they go any further with the injection they could damage the tendon beyond repair.
My other hand is starting to go when it get's bad enough I will try the surgery instead.
It often found in Diabetics and Alcoholics, also hereditary.
Edited by DocArbathnot on Sunday 14th April 10:19
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