What is Dupuytren's contracture?... Dupuytren's contracture (DC) is a condition in which the fascial tissue under the skin of the patient's hand (DC) thickens, a knot of tissue underneath The skin is formed.... Over time, a thick knot is formed that causes one or more fingers to bend.... Dupuytren's contracture affects the little finger and the ring finger.... Dupuytren's contracture rarely affects the toes.... In this article, we are going to review the symptoms, causes and treatment of Dupuytren's contracture.. Recurrence of this disease after surgery. For the treatment of Dupuytren's contracture, you can visit the clinic of Dr. Zahra Eshghi Shiraz.** Symptoms of Dupuytren's contracture According to Dermatology Clinics in 2019, the worldwide prevalence of Dupuytren's contracture is estimated to be 4%.. This disease is sometimes considered a progressive disease because it progresses over time.. Interphalangeal (PIP) joints.... ### What are the metacarpophalangeal (MP) and proximal interphalangeal (PIP) joints?... metacarpophalangeal joint The joint is between the bones of the palm and the knuckle bone.. At first it is painful, but the pain will decrease.... In the advanced stage, the nodes begin to contract and create uneven bands of tissue... The bands of tissue will be so inflexible that they force the finger to bend towards the wrist.. In the next stage, this contraction will intensify and the sufferer will have difficulty straightening the fingers... Shiraz Causes of Dupuytren palmar contracture The causes of this disease are not yet fully known. The occurrence of this disease is very common in male babies at birth. The risk factors of Dupuytren's contracture are: - **Age:** With increasing age, the risk of Dupuytren's contracture also increases... This disease occurs in middle-aged people, especially after 50 years of age.. Families and it is one of the most common hereditary diseases..- **Diabetes:** According to studies, people with diabetes are 3.06 times more at risk of developing Dupuytren's contracture than others. Hand injury: Hand injury may increase the risk of developing Dupuytren's contracture, but it is not the cause of this condition. It was seen or the wrist... According to the results of this study, people at a younger age are more affected... It is possible that some people will have Dupuytren's contracture in the foot.... Following this disease, nodules are formed on the soles of the feet.... This disease affects both feet and progresses slowly.... It will cause pain and swelling in the feet and toes, as well as difficulty in walking.... Dupuytren's contracture of the foot changes the way a person walks.... This disease causes Pressure on others The parts of the feet and ankles become...: Physiotherapy of the fingers in Shiraz Diagnosis of Dupuytren's contracture Dupuytren's contracture usually takes years to develop....Some people have very mild symptoms and never develop contractures....Early diagnosis and treatment play an important role in preventing hand or foot deformity..The doctor will also ask the patient to pinch themselves to assess the range of motion of the hand. Arthritis of the fingers is not considered.... X-ray imaging is done only if the doctor suspects thickening or darkening of joint lesions.... from the skin, but there is no need to diagnose this disease.... Treatment of Dupuytren's contracture There is no definitive treatment for Dupuytren's contracture.. Taking drugs and using treatment methods only help to relieve the symptoms caused by this condition.... If the affected person feels pain or has difficulty in performing normal and daily activities, the doctor first recommends non-surgical treatments.... If the condition worsens or changes in the shape of the hand, surgical treatment is considered.. Contraction... Based on the studies, collagenase injection will bring good results in the short and medium term. In this method, the enzyme is injected into the node. This enzyme breaks down the tissue knots to make the fingers smooth.. The needle is used to cut the thickened tissue under the skin without making an incision. According to a statement from the American Academy of Orthopedic Surgeons (AAOS), overextension of a contracted finger can lead to finger or hand injury. But to protect the surgical site, a splint should be used after surgery. If non-surgical treatment methods are not effective in reducing this disease. Contraction and improvement of hand function.. The type of surgery depends on the degree of contracture.. giving... In this method, a local anesthetic is used and the wound is left open for healing, and then a splint is used... - **Palm fasciectomy:** In this method, the surgeon moves the abnormal tissue to straighten the fingers.. Then the wound is opened. Dupuytren's contracture is considered a progressive and incurable disease... but with the use of surgical and non-surgical methods, the symptoms are significantly reduced... there is a possibility of recurrence of this disease even after surgery... Fortunately, the severity of this disease is less than before the surgery and there is often no need for re-surgery. One year after the surgery... ### summary Dupuytren's contracture (DC) is a condition in which the fascia (layer of tissue under the skin) in the palm of the hand thickens. In this disease, a knot of tissue is created under the skin. Researchers have not definitively identified the factors that lead to the occurrence of this disease. In the occurrence of this disease. The treatment of Dupuytren's contracture usually begins with non-surgical treatments such as injections to prevent the progression of the disease... If non-surgical methods are not effective in treatment, the doctor recommends surgery...