How is contracture measured? (2) | Dupuytren Disease | Forum for Dupuytren's and Ledderhose

Judith_Proctor · 2007-06-29T06:57:39+00:00

I diagnosed myself (with the aid of a good friend) with Dupytren's just over six months ago. Since then, I've been struggling to find someone who will give me radiotherapy in the UK and watching my hand get worse. Today, I'm going to see a radiotherapist at Poole hospital - if he treats me, I'll post details for others. I think he will be willing as he was interested when we spoke a couple of weeks ago. However, what worries me is that is that I'm not sure what stage my disease is in. My left hand has just a few small nodules - definitely a case for radiotherapy. My right hand has already suffered a degree of contracture (which is extrememly frustration as there was no contracture when I first worked out what the lumps on my hand were). I've lost about 10 degrees of movement, which would seem to make this hand borderline for successful radiotherapy. However, I'm hypermobile and a loss of 10 degrees for me still means that I can bend my fingers backwards by around 20 degrees when my hand is placed flat on a table. Is the degree of contracture measured from the original flexilility of the hand, or is it contracture from a hand with all the fingers held in a straight line with the palm? If it is the latter, then I may have a lot less to worry about.

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How is contracture measured?

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07/10/2007 08:37 Judith_Proctor not registered
07/10/2007 08:37 Judith_Proctor not registered	Re: How is contracture measured? Hi, thanks for checking. However, my problem relates more to radiotherapy than the surgery. When contacture is more than 10 degrees, then radiotherapy is less likely to be successful. I can lay my hand flat with no problems, but I'm hypermobile and can flex my good fingers backwards by 20 degrees. My bad hand only bends back by 10 degrees. So, I've lost 10 degrees of mobility, but I can still lie my hand flat. I don't know where that puts me on the suitability scale for radiotherapy.
07/10/2007 08:37 Judith_Proctor not registered	Quote

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