Dupuytren’s Disease

Topic

Hand

Podcast

Updated

‣

What is Dupuytren's? What Collagen and histology?

‣

Risk factors?

‣

Classification and Stages of Duputryen's?

‣

What is Dupuytren's Diasthesis? Implications?

‣

Ligaments of the Finger and the pathological change?

‣

Which ligament is classically said to be not involved?

‣

Indications for surgery?

‣

What is the management options?

‣

What is the protocol for collagenase injection? Complications?

‣

How will you consent for surgery?

‣

What incision? Draw!

‣

Most important complication to be aware of?

‣

How do you protect the NVB?

‣

Is dermatofasiectomy better?

‣

Clostridium Histolyticium injection vs surgery?

Flexor tendon rupture after collagenase injection for Dupuytren contracture: case report - PubMed

Rupture of both flexor tendons after collagenase injection for Dupuytren contracture is a rare and problematic complication. We performed a 2-stage tendon reconstruction to treat this problem, with an acceptable result. Acute double flexor tendon ruptures following injection of collagenase clostridium histolyticum (Xiapex) for Dupuytren's contracture. Povlsen B, Singh S.

pubmed.ncbi.nlm.nih.gov

Flexor tendon rupture after collagenase injection for Dupuytren contracture: case report - PubMed

‣

Why is PIPJ contracture more difficult to correct?

‣

Have you heard of the open palm Maccash technique?