| link between trauma and the onset of DD. |
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07/21/2013 19:30
mbird 
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07/21/2013 19:30
mbird
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link between trauma and the onset of DD.
I still don't understand the link between trauma (broken wrist and hand & 3 surgeries ) and the onset of DD. Have I had DD all along and it just lying dormant. To my best knowledge no-one in my family ever had this condition, I am now 66yrs old why show up now. I have never smoked, and a glass of wine at Christmas and Birthdays is my limit and have always krpt very fit, so Im at a loss. mbird
Edited 07/22/13 16:11
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07/21/2013 21:23
Tusk 
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07/21/2013 21:23
Tusk
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Re: link between trauma and the onset of DD.
I don't think trauma alone would cause it. Otherwise millions of people would get it every year. I think maybe you were predisposed to DD (whether that's lying dormant or just something in your body chemistry) and the trauma may have then set things in motion. I believe the condition is mostly genetic but there really isn't a lot known about the disease. It mostly affects people in their later years, sometime very late. That may be one reason you aren't aware of it in your family. Maybe someone had a mild version of it. Many people have the disease but have no contracture or significant contracture so again, maybe you wouldn't know about it. And maybe it skipped a couple generations.
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07/21/2013 22:59
Doodle 
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07/21/2013 22:59
Doodle
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Re: link between trauma and the onset of DD.
Hi .I am a first time user and a newbie. I was recently diagnosed and have lots of questions. I am convinced and so is my
Doctor that the cause was trauma. I broke my elbow and 3 months later my dirt nodule appeared.
There is no family history. This site has been a lifeline as no one I know has even heard of this. When trauma is involved how fast does this disease usually progress? I am a 63 year old female. Thanx
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07/22/2013 00:57
LubaM. 
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07/22/2013 00:57
LubaM.
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Re: link between trauma and the onset of DD.
When it comes to Dupuytren's... unfortunately nothing is "usual"... everyone has different progression of the disease, different treatments work differently from one individual to another, and even the same person can have different results or rate of progression between their left and right hand.
All you can do is read all you can about the disease, treatments and options available to you and make your own decision. Post questions on this forum and many people will answer and share their experience. You can also do a search, by subject, at the top right corner of this page.
Good luck to you.
Edited 07/22/13 03:58
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07/22/2013 05:21
stephenp
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07/22/2013 05:21
stephenp
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Re: link between trauma and the onset of DD.
There is a good easy to read review on DD triggers and predisposing factors.
Postgrad Med J, 2005; v81 p 425
in summary
heavy manual labour or trauma alone does not appear to induce DD but in those who are genetically predisposed a specific injury may be an initiator or trigger.
I can email a copy of this paper to anyone interested.
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07/22/2013 17:31
JohnG
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07/22/2013 17:31
JohnG
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Re: link between trauma and the onset of DD.
Doodle:
When trauma is involved how fast does this disease usually progress? I am a 63 year old female. Thanx
Doodle, I don't know, for the case when trauma is involved.
--- but I think that a slightly different question, how far does it progress, was answered a few months ago. Wach mentioned a study that suggested that trauma-related DD usually involves node formation without progressing to cords and contracture -- but it's been a while since I read that post, so I might be wrong.
Edited 07/22/13 20:32
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07/23/2013 23:35
stephenp
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07/23/2013 23:35
stephenp
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Re: link between trauma and the onset of DD.
It may be easy to confuse a patch or knot or nodule of scar tissue resulting from an injury with a DD nodule. I did have a significant injury on my left hand that left a 1 cm scar and an area of scar tissue. For some time I did wonder it this was turning into a DD nodule. The nodule associated with the injury eventually resolved but about 2 years later an unmistakeable DD nodule appeared on the same hand about 4 cms away from the injury site. It would be possible to conclude an association but I suspect not given the distance from the injury, DD on my right hand and the genetic linkage.
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07/24/2013 00:42
Doodle
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07/24/2013 00:42
Doodle
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Re: link between trauma and the onset of DD.
I have no proof that my broken elbow caused Dd. but there is no family history and
The nodule was 3 to 4 months later. Going for a second opinion will see if this doctor blames
The injury as the first doc was certain it was injury related.
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