{"id":6831,"date":"2023-03-14T01:18:46","date_gmt":"2023-03-14T01:18:46","guid":{"rendered":"https:\/\/www.peninsulahandtherapy.com.au\/?page_id=6831"},"modified":"2023-06-27T04:58:08","modified_gmt":"2023-06-27T04:58:08","slug":"dupuytrens-contracture","status":"publish","type":"page","link":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/dupuytrens-contracture\/","title":{"rendered":"Dupuytren&#8217;s Contracture"},"content":{"rendered":"\n<p><strong>What is it?<\/strong>&nbsp;<\/p>\n\n\n\n<p>Dupuytren\u2019s Disease<strong> <\/strong>is a genetic disorder affecting the connective tissue of the palm of the hand. Established contractures are irreversible and require surgery.&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"484\" height=\"326\" src=\"https:\/\/www.peninsulahandtherapy.com.au\/wp-content\/uploads\/2023\/03\/dups-1.jpeg\" alt=\"\" class=\"wp-image-6833\" srcset=\"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/dups-1.jpeg 484w, https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/dups-1-300x202.jpeg 300w\" sizes=\"auto, (max-width: 484px) 100vw, 484px\" \/><\/figure>\n\n\n\n<p><strong>Signs and Symptoms<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The first sign is often a small lump or puckering of the skin which can progress into a thickened fascial band or \u201ccord\u201d.&nbsp;<\/li><li>&nbsp;The thick cord of fascia pulls the fingers in toward the palm.&nbsp;<\/li><li>Often occurs in both hands and the soles of the feet and is most common in the Little finger and the Ring finger.&nbsp;<\/li><li>The condition is painless and benign for most, however, those that use their hands for heavy gripping, and manual handling tasks, can exacerbate the condition.&nbsp;&nbsp;<\/li><\/ul>\n\n\n\n<p><strong>Causes&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p>The exact cause of Dupuytren\u2019s is unknown. One theory is that it descends from the Viking era. The condition can also present following trauma to the fingers, hand and wrist.&nbsp;<\/p>\n\n\n\n<p><strong>Incidence<\/strong>&nbsp;<\/p>\n\n\n\n<p>Dupuytren\u2019s most frequently occurs in men over the age of 40 and people of Northern European descent.&nbsp;<\/p>\n\n\n\n<p><strong>Surgery<\/strong>&nbsp;<\/p>\n\n\n\n<p>There are 3 main surgical interventions:&nbsp;<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Fasciectomy<\/strong> \u2013 A \u2018Z\u2019 shaped incision is made into the palm \/ fingers and the Dupuytren\u2019s tissue is removed.&nbsp;<\/li><\/ol>\n\n\n\n<ol class=\"wp-block-list\" start=\"2\"><li><strong>Needle Fasciotomy <\/strong>&#8211;&nbsp;&nbsp;<strong> <\/strong>A needle is used to cut the Dupuytren\u2019s tissue and break the cord.&nbsp;<\/li><\/ol>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\"><li><strong>Collagenase<\/strong> \u2013 Collagenase is a solution which is injected into the cord of the Dupuytren\u2019s to dissolve the tissue.&nbsp;<\/li><\/ol>\n\n\n\n<p><strong>Post \u2013 Surgery Treatment<\/strong>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Splinting <\/strong>will help prevent the contracture recurring as the wound heals and the scar matures. Night splinting is required for 12-16 weeks post-operatively depending on the severity of the condition and the surgeon\u2019s preference.&nbsp;<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"294\" height=\"194\" src=\"https:\/\/www.peninsulahandtherapy.com.au\/wp-content\/uploads\/2023\/03\/image.png\" alt=\"\" class=\"wp-image-6834\" srcset=\"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/image.png 294w, https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/image-200x133.png 200w\" sizes=\"auto, (max-width: 294px) 100vw, 294px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li>A <strong>compression glove <\/strong>may be provided to reduce swelling and provide pressure to the palm, particularly following a Collagenase injection.&nbsp;<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"234\" height=\"231\" src=\"https:\/\/www.peninsulahandtherapy.com.au\/wp-content\/uploads\/2023\/03\/image-1.png\" alt=\"\" class=\"wp-image-6835\" srcset=\"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/image-1.png 234w, https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-content\/uploads\/2023\/03\/image-1-50x50.png 50w\" sizes=\"auto, (max-width: 234px) 100vw, 234px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Tendon Gliding Exercises <\/strong>help prevent scar adhesions and maintain joint range of motion.&nbsp;<\/li><li><strong>Ultrasound, Low Level Laser Therapy, scar massage <\/strong>and <strong>silicone <\/strong>may be used to assist with remodelling of scar tissue.&nbsp;<\/li><li><strong>Strengthening exercises <\/strong>are provided to assist you to return to full activities.&nbsp;<\/li><\/ul>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-2a526b77-4b30-4d0f-8761-050b5400b8a8\" href=\"https:\/\/www.peninsulahandtherapy.com.au\/wp-content\/uploads\/2023\/06\/PHT-Dupuytrens-Disease-handout.pdf\">PHT-Dupuytrens-Disease-handout<\/a><\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is it?&nbsp; Dupuytren\u2019s Disease is a genetic disorder affecting the connective tissue of the palm of the hand. Established contractures are irreversible and require surgery.&nbsp;&nbsp; Signs and Symptoms&nbsp; The first sign is often a small&hellip; <a class=\"read-more\" href=\"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/dupuytrens-contracture\/\">Read more <span class=\"screen-reader-text\">Dupuytren&#8217;s Contracture<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-6831","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P7MFdP-1Mb","_links":{"self":[{"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/pages\/6831","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/comments?post=6831"}],"version-history":[{"count":3,"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/pages\/6831\/revisions"}],"predecessor-version":[{"id":7525,"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/pages\/6831\/revisions\/7525"}],"wp:attachment":[{"href":"https:\/\/peninsulahandtherapy.com.au\/wp_dev\/wp-json\/wp\/v2\/media?parent=6831"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}