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The main function of the palmar fascia is to increase grip strength; thus, over time, Dupuytren's contracture decreases a person's ability to hold objects and use the hand in many different activities. Dupuytren's contracture can also be experienced as embarrassing in social situations and can affect quality of life. [15]
Fasciotomy or fasciectomy is a surgical procedure where the fascia is cut to relieve tension or pressure in order to treat the resulting loss of circulation to an area of tissue or muscle. [1] Fasciotomy is a limb-saving procedure when used to treat acute compartment syndrome. It is also sometimes used to treat chronic compartment stress syndrome.
The causes of some deformities, such as Dupuytren's contracture, are difficult to determine exactly, however chances of developing the deformity may be increased by certain chronic behaviours or disease. [3] Consequences can be similar to trauma related ones, in that joint use may be disrupted. [20]
The key factor in acute compartment syndrome is the time to diagnosis and fasciotomy. [12] A missed or late diagnosis may require limb amputation to survive. [63] [13] After a fasciotomy, some symptoms may be permanent. [13] It depends on which compartment was affected, the time until surgery, and muscle necrosis.
It enables complex procedures such as for Dupuytren's contracture to be performed as outpatient procedures under local anaesthesia. With the changes in UK healthcare commissioning and the evolution from primary care trusts to clinical commissioning groups from 2013, this model of surgery is likely to be increasingly important, and may secure ...
Guillaume Dupuytren, Baron Dupuytren (UK: / ˌ dj uː p w iː ˈ t r æ̃, dj uː ˈ p w iː t r ɛ n /, [1] US: / d ə p w iː ˈ t r æ̃, d ə ˈ p w iː t r ən /, [2] French: [ɡijom dypɥitʁɛ̃]; 5 October 1777 – 8 February 1835) was a French anatomist and military surgeon.
[citation needed] Over time, walking becomes painful. The disease is named after Georg Ledderhose, a German surgeon who described the condition for the first time in 1894. [3] [4] A similar disease is Dupuytren's disease, which affects the hand and causes bent hand or fingers.
Hand contractures as seen in Freeman–Sheldon syndrome. In pathology, a contracture is a shortening of muscles, tendons, skin, and nearby soft tissues that causes the joints to shorten and become very stiff, preventing normal movement.