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Can DC be caused by Carpel Tunnel Surgery
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08/03/2003 23:08
Leslie

not registered

08/03/2003 23:08
Leslie

not registered

Can DC be caused by Carpel Tunnel Surgery

I had Carpel tunnel surgery on my left hand last August and by December I had lumps in my palm that my Dr. insists are because of my heritage, however they were not there prior to the surgery. In December, I had Carpel tunnel surgery on my right hand, and again within months Dupuytren's contracture has started on that hand and in my small finger. I really think this was brought on by the surgery. Has anyone else had this experience with post surgery DC development? Are there any medical sites that address this?

08/03/2003 23:52
Randy 
08/03/2003 23:52
Randy 
Predisposition + Trauma

It is the opinion of many (myself included) that trauma to the hand area can trigger the onset of, or the rapid increase of existing DC disease. This has been my experience prior to the onset of my disease and the effects of my first surgery (which, God willing will be my last!). Your Doc. is partially correct, blaming it on heredity. You can whack and cut the heck out of most non-Northern Europeans hands and get no DC. The predisposition MUST be there first. However, predisposition + trauma can get the disease rolling. Not always though. Many on this site see no relation to the onset of their disease and trauma of any kind (except years).

Since you have now a clear pattern of trauma and DC, you would be wise to seek alternative treatment should your DC ever need surgery (contracture of 40 degrees plus).
Read and study this site. Ignore comments by Sean/Gary or the controversy surrounding his statements.

08/03/2003 23:34
Stage one

not registered

08/03/2003 23:34
Stage one

not registered

How come?

I hold an opinion similar to Randy's that absent a genetic predisposition Carpel Tunnel surgery would not "trigger"
palmar nodules, nor cord-like contractures. IMHO having
carpal tunnel surgery did not "cause" palmar DD. DD was there prior to the surgery, albeit without nodules. If you
search web sites about DD, you will find asociations between
DD and Phenobarbital, Epilepsy, Alcohol consumption, etc.
Carpal tuennel syndrome is also listed as an asssociated condition with a percentage value. This is the "chicken or
egg" conundrum; which came first?
If you are asking a medico-legal question, I believe that "informed consent" is the issue. Had DD been part of your history, a reasonably prudent hand surgeon might have
included side effects as a possibility. It sounds like you
learned about DD subsequent to CTS surgery. While the "ad hoc, ergo propter hoc" suspicion is understandable, medical
opinion is not likely to support "causality." This may be a
salient point; had you avoided CTS surgery, DD may not have
manifested until some other event in the future. Perhaps,
that might have been included in "informed consent" i.e.
CTS surgery may have side effects that aggravate previously
undetected conditions now or in the future. What type of
procedure "corrected" the CTS? Were the wrist "bands" severed? Was the tunnel "Roto-rotored?" Do what seems right; I, personally, would move on to consider the DD as a separate entity and follow the NA and collagenase discussion. Consult with a lawyer if you have other concerns. I wish you the best of outcomes.

08/04/2003 23:41
JERRY 
08/04/2003 23:41
JERRY 
Trauma & Dupuytren~sq~s

Randy and Stage One: Your posts are right on target.

For the newcomers to the forum; please visit the following site for corroborating information.

http://jvm.com/wstagner/dlinks.htm

I assure you that you will be rewarded for your effort.

10/03/2003 23:53
Sue 
10/03/2003 23:53
Sue 
DC caused by Carpel Tunnel

I had the same thing happen to me. Had surgery, bumps appeared, doc said same thing. Heredity/surgery didn't cause it/you had it before, it just appeared early for some reason.

10/05/2003 23:05
JERRY 
10/05/2003 23:05
JERRY 
Trauma and D/C

If you would listen to Jacky Mason you would learn from where the Docs learned their rhetoric.

"I wasn't there" or "I was looking the other way when it happened" or "I was absent that day" plus numerous other excuses.

YES: TRAUMA can and does exacerbate Dupuytren's.

10/05/2003 23:32
Judy Dunn

not registered

10/05/2003 23:32
Judy Dunn

not registered

DC caused by Carpal Tunnel Surgery

My doctor told me that after carpal tunnel surgery, some people develop the bumps and come back to him asking "What did you do to me?"

My DC came from a fall a year ago and I had the two bumps when the cast came off. My doctor agrees with me that my autoimmune problems are responsible. There is no DC in my family and I have it only in my right hand where I landed.

The Merck manual may not say so, but if you read all the many postings on this list it will be clear how trauma can be one of the causes of DC.

Judy

10/05/2003 23:56
Sean 
10/05/2003 23:56
Sean 
DC

Judy,
Several websites and medical studies do indicate that trauma can be a cause of DC if a person already has the predisposition.

01/25/2004 23:03
Lois

not registered

01/25/2004 23:03
Lois

not registered

Duppuytren~sq~s contraction

I'm looking for an explanation of surgery, recuperation time, and any other helpful information.

06/10/2004 23:30
Maryanne Stewart

not registered

06/10/2004 23:30
Maryanne Stewart

not registered

Duppuytren~sq~s contraction

I would like to know what the recuperation time is after having an operation on small finger right hand

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