| Snapped dupytrens contracture on my own, now what? |
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11/27/2017 12:36
askyourdad 
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11/27/2017 12:36
askyourdad
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Snapped dupytrens contracture on my own, now what?
I am 37yrs old and was diagnosed around 25. This morning I was playing basketball and I swiped at a ball pretty hard and felt some pain in my hand, but immediately noticed the cord has snapped. I am not able to find any information online regarding this scenario and am trying to get a doctors appointment this morning. Has anyone else ever done this themselves? Not going to lie, I'm am/was elated.
Original post and since then I have had the degrees measured and I was about 40 something degrees bent.
http://www.dupuytren-online.info/Forum_E...ent-0_2289.html
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11/27/2017 16:08
spanishbuddha  Administrator
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11/27/2017 16:08
spanishbuddha Administrator
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Re: Snapped dupytrens contracture on my own, now what?
There have been reports of this happening before to others. Allegedly briefly painful? Also some people who have Xiaflex find it snaps before the Dr manipulation. I would be inclined to treat it as an acute injury for a week. Bit of ice, care, etc. just so there’s no undue inflammation that might cause a flare. This is a totally unscientific opinion.
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11/28/2017 01:45
Seph 
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11/28/2017 01:45
Seph
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Re: Snapped dupytrens contracture on my own, now what?
I have first hand experience with this but I can't tell you if it was painful as mine was a somewhat dramatic experience. I was changing a flat tyre on my car. Foolishly I took no account of the fact that the car was on a slope and as I was removing the wheel the car rolled forward dropped off the jack and jammed my dupuytrens affected index and middle fingers between the wheel arch and the wheel. Fortunately on the tyre not the wheel rim or I would now be minus two fingers.
After much drama my wife was able to get the jack in place and lift the 2.3 tonne car off my hand. Felt like it took hours but probably less than 5 minutes. The upshot was that my two fingers had returned to perfectly straight when removed from the press. They started to bend again about 6 months later so perhaps I stretched rather than snapped the cord.
Seph
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11/28/2017 12:46
askyourdad
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11/28/2017 12:46
askyourdad
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Re: Snapped dupytrens contracture on my own, now what?
The doctor said that I did snap the cord and didn't do any damage to my fingers. He was a younger guy and didn't really have much else to tell me and I don't think he'd seen something like this happen before. He said what did was "self-treat" and me breaking it like I did was the same as getting the injections and having them break it in the office, only difference was I broke a full strength cord vs a weakened one. Said if I can replicate how I broke it on my own, I can patent it and make some money! (he was joking).
Hopefully it doesn't come back or at least takes a very long time.
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11/28/2017 12:51
askyourdad
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11/28/2017 12:51
askyourdad
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Re: Snapped dupytrens contracture on my own, now what?
Seph:
I have first hand experience with this but I can't tell you if it was painful as mine was a somewhat dramatic experience. I was changing a flat tyre on my car. Foolishly I took no account of the fact that the car was on a slope and as I was removing the wheel the car rolled forward dropped off the jack and jammed my dupuytrens affected index and middle fingers between the wheel arch and the wheel. Fortunately on the tyre not the wheel rim or I would now be minus two fingers.
After much drama my wife was able to get the jack in place and lift the 2.3 tonne car off my hand. Felt like it took hours but probably less than 5 minutes. The upshot was that my two fingers had returned to perfectly straight when removed from the press. They started to bend again about 6 months later so perhaps I stretched rather than snapped the cord.
Seph
The doctor told me that even though I've snapped it, it could still return...so it's possible that you snapped it but it just came back also.
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11/28/2017 13:01
Stefan_K.
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11/28/2017 13:01
Stefan_K.
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Re: Snapped dupytrens contracture on my own, now what?
Congratulations. I highly recommend wearing a splint glove at night now, as without it in my case (after the NA) I am certain the ends of the cord which reconnect rather fast would have pulled the finger in again. I can feel the tension. There are various solutions available, from the one I made myself from a cycling glove to more sophisticated gloves for various fingers which you can buy. Wearing a splint at night is a small price to pay to have straight fingers and avoid more or less invasive and risky medical procedures.
Stef
[55, Dupuytren diagnosis 2006, RH contracture and PNF/NA 2014, radiotherapy RH 2015, LH 2017, night splint glove]
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11/28/2017 14:23
askyourdad
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11/28/2017 14:23
askyourdad
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Re: Snapped dupytrens contracture on my own, now what?
Stefan_K.:
I am certain the ends of the cord which reconnect
Are you certain this can/will happen? The doctor didn't mention anything about it but I also didn't think to ask. If the cord can reconnect that's disappointing.
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11/28/2017 17:30
Alan_Hepburn
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11/28/2017 17:30
Alan_Hepburn
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Re: Snapped dupytrens contracture on my own, now what?
askyourdad:
Stefan_K.:
I am certain the ends of the cord which reconnect
Are you certain this can/will happen? The doctor didn't mention anything about it but I also didn't think to ask. If the cord can reconnect that's disappointing.
I know it happens - About 4 years ago I had NA on cords in my right hand (ring and little finger). They reconnected and I had Xiaflex on the cords just under 2 years ago. I am now scheduled for surgery on those same cords because they reconnected once more. While surgery is the most invasive option, it is the ONLY option that guarantees that the cords are removed, and not just broken.
Alan Hepburn
San Jose, Ca, USA
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11/28/2017 18:11
Stefan_K.
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11/28/2017 18:11
Stefan_K.
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Re: Snapped dupytrens contracture on my own, now what?
Alan_Hepburn:
I know it happens - About 4 years ago I had NA on cords in my right hand (ring and little finger). They reconnected and I had Xiaflex on the cords just under 2 years ago. I am now scheduled for surgery on those same cords because they reconnected once more. While surgery is the most invasive option, it is the ONLY option that guarantees that the cords are removed, and not just broken.
Alan Hepburn
San Jose, Ca, USA
Agreed, removing a segment or all of the cord increases the chances that the cord in question won't form again. But unfortunately open surgery, too, is no guarantee that it will be the end of it rather than the beginning of something possibly worse, elsewhere or even in the same place as fibroblast form again.
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