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Hand/Pinky Injury or Dupyutren's Contracture
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04/12/19 21:00
Jaykson2 
04/12/19 21:00
Jaykson2 
Hand/Pinky Injury or Dupyutren's Contracture

I am in my late 20'sand have a cord going up to my pinky finger that I can feel and a small bump in the palm but no finger curving and I can straighten my finger. I broke my pinky and tore some tendons in it about 10 years ago and it was unable to straighten it until I had physical therapy. My finger was bent for several years before I treated the injury. I know I am very young for dupyturen's so is it possible for a traumatic finger injury like that to cause some problems in the hand that resemble duyutren's in one finger? Could this be non dupyutrens or another similar condition?

04/13/19 00:30
Prof.Seegenschmiedt 
04/13/19 00:30
Prof.Seegenschmiedt 

Re: Hand/Pinky Injury or Dupyutren's Contracture

Acute Trauma and Induction of Dupuytren Disease

This is an interesting question with medical legal implications, e.g. after accidents caused by a third party. There are a few reviews available in the medical literature which address this topic comprehensively with several points of discussion.

Dupuytren’s disease (DD) caused by repetitive injury or chronic manual labour has not achieved full credibility so far. However, several studies suggest that the initiation of DD can be induced by an acute or specific injury, infection or surgical procedure to the ipsilateral hand, wirst or forearm. Apparently this occurs more often in patients with a genetic predisposition which was first suggested by Skoog (1948) and proposed definitively by Clarkson (1961) and Hueston (1964). Many reports exist about single case studies or reviews of a few patients and only few studies with a large patient population.

An excellent review on 385 patients was published in 2004 by D. Elliot & R. Ragoowansi from the Hand Surgery Department, St. Andrew’s Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, UK [see attachesd LINK]

These are accepted CRITERIA FOR RECOGNITION OF DUPUYTREN’S CONTRACTURE AFTER ACUTE INJURY

1. Objective evidence of injury with no evidence of Dupuytren’s disease prior to the injury.
2. Injury is within the same hand, wrist or forearm as the first hand to develop disease.
3. Patients may be of any age and may or may not exhibit conditions predisposing to Dupuytren’s Disease or indicative of a diathesis.
4. Dupuytren Disease appears within 1 year of injury (surgery, burn, mechanical trauma)
5. Single nodule or cord appears first in the palm of the injured hand.
6. Disease commonly remains limited to the part of the hand which was initially involved. but may progress within the same hand or to the other hand and may occasionally become significant in degree.

(modified from Elliot and Ragoowansi 2004)


Literature Links:

http://citeseerx.ist.psu.edu/viewdoc/dow...p1&type=pdf / D. Elliot & R. Ragoowansi, 2004

MESH Search in PubMed:

("dupuytren contracture"[Title/Abstract] OR ("dupuytren's contracture"[Title/Abstract] OR ("dupuytren disease"[Title/Abstract] OR ("dupuytren's disease"[Title/Abstract] OR ("dupuytren nodule"[Title/Abstract] OR ("dupuytren's nodule"[Title/Abstract])))))AND ("injury"[Title] OR "trauma"[Title]))

Excellent background information:

https://www.dupuytren-online.info/dupuyt...ure_trauma.html
https://dupuytrens.org/dupuytren-literature-injury/


With gratitude for all affected patients & medical colleagues who help to advance patient care ...

Edited 04/13/19 00:32

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04/16/19 01:30
Jaykson2 
04/16/19 01:30
Jaykson2 
Re: Hand/Pinky Injury or Dupyutren's Contracture

Could this type of injury be non-dupuytrens or pesuedo dupuytrens. I got this injury (boutonierre deformity) in my teens and had my finger bent for several years until physical therapy. I have had the palm bump, mild cord since my teens and it has not progressed in the last 15 years.

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