What is a palmar aponeurosis?
Palmar aponeurosis is the central part of the deep fascia of the palm which is a highly specialized thickened structure with little mobility. It is triangular in shape and it covers the underlying neurovascular and tendon structures.
What is Dupuytren surgery?
Key points to remember. Surgery can improve, but may not completely restore, the use of your hands. Dupuytren’s disease comes back after surgery about half the time. You may need another surgery to keep the use of your hands. There are other nonsurgical treatments for Dupuytren’s.
When is surgery needed for Dupuytren’s contracture?
Surgery for Dupuytren contracture generally should be performed on an affected metacarpophalangeal (MCP) joint if the contracture is 30° or greater. Such contractures most likely cause some debilitation for the patient.
How long does Dupuytren’s surgery take to heal?
Recovery time is between 4 – 12 weeks, depending on the severity of the finger condition. In most cases that we experience, surgery is the best form of treatment and the most effective and accurate in preventing contracture returning. Risks with surgery can include bleeding, numbness, and a chance of infection.
What is the purpose of palmar aponeurosis?
The central, triangularly shaped palmar aponeurosis (Figure 2-24) provides a semirigid barrier between the palmar skin and the important underlying neurovascular and tendon structures.
What is Palmar Fasciectomy?
A Palmar Fasciectomy is a surgical procedure used to divide or remove the thickened tissue in the palm of your hand or fingers with the goal of treating Dupuytren’s disease.
What causes palmar fibromatosis?
Palmar fibromatosis runs in families and is more common in people of Northern European or Scandinavian ancestry. Other factors that may increase the risk of developing palmar fibromatosis include: Diabetes. Smoking.
Who is the best surgeon for Dupuytren’s contracture?
Dupuytren’s contracture – Medical specialists
- Mr El-Husseiny, Moataz. Orthopaedic surgery.
- Mr Gulihar, Abhinav. Orthopaedic surgery.
- Mr Gherasim, Corneliu. Endodontics.
- Mr Serpieri, Giuseppe. Vascular surgery.
- Dr Trip, Anand. Neurology.
Is Dupuytren’s surgery painful?
Surgical incisions will vary based on the extent of your Dupuytren’s contracture but may look like a zig-zag on the palmar surface of the finger and hand. Dupuytren’s contracture release can be painful. You will receive a prescription for narcotic pain medicine.
How successful is Dupuytren’s surgery?
Overall, surgery for Dupuytren’s disease in the NHS is effective and safe with low complication rates. Within 90 days of surgery: less than one in 100 (0.8%) patients experienced serious systemic complications. one in 100 (1.2%) of patients experienced serious local complications.