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Topic: Contracture

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	Dupuytrens Contracture (Site not responding. Last check: 2007-09-19)
		Dupuytrens Contracture affects the gristle layer (fascia) that lies beneath the skin of the palm and whose role is to bind down that skin to prevent it from skidding about the way the skin on the back of the hand does.
		In mild cases the contracture can be corrected through a zigzag scar on the palmar surface of the palm and finger(s) through which the diseased tissue is removed and the joint freed.
		Finally, complete correction of long standing or recurrent joint contractures cannot always be achieved, and for this reason, and because recurrence is common, I recommend that you report new disease as early as possible so that it can be carefully evaluated and monitored, and surgery planned at a stage when it is most effective.
	www.vy46.dial.pipex.com /Dupuytrens.htm (1060 words)

	Dupuytren's contracture - Wikipedia, the free encyclopedia
		Dupuytren's contracture is a fixed flexion contracture of the hand where the fingers bend towards the palm and cannot be fully extended (straightened).
		It is named after the famous surgeon Baron Guillaume Dupuytren who described an operation to correct this particular contracture.
		In patients with this condition, the tissues under the skin on the palm of the hand thicken and shorten enough that the tendons connected to the fingers cannot move freely.
	en.wikipedia.org /wiki/Dupuytren's_contracture (189 words)

	598: Am J Dis Child. 1986 Sep;140(9):915-7. Knuckle pads in children. Paller AS, Hebert AA. Knuckle pads occur from ...
		There is no evidence that the gross, macroscopic contracture of the palmar fascia in Dupuytren's disease is due to shortening, plication, or contraction of the collagen fibrils or fibers present in the tissue at the onset of the disease or synthesized during its development.
		Liquid-crystal thermography in the diagnosis of Dupuytren's contracture.
		With the exception of the index finger, the degree of contracture increases from the thumb to the little finger, 29% of the men and 12% of the women examined had contracture of such an extent that surgical treatment was advisable.
	www.handcenter.org /trash.htm (13431 words)

	Capsular Contracture
		Capsule contracture, the most common complication of breast augmentation surgery, can happen at any time, but seems to be more common in the first several months after surgery.
		Textured breast implants were invented in hopes of preventing, or at the very least, reducing the incidence of capsule contracture.
		However, for those who have had problems with capsular contracture in the past, it's worth taking a single dose of antibiotics, just to be on the safe side.
	www.justbreastimplants.com /risks/capsule-contracture.htm (1714 words)

	Contracture deformity
		A contracture is a permanent tightening of muscle, tendons, ligaments, or skin that prevents normal movement of the associated body part and that can cause permanent deformity.
		A contracture develops when the normally elastic connective tissues are replaced by inelastic fibrous tissue.
		Contractures occur primarily in the skin, underlying tissues, muscle, tendons and joint areas.
	stlukes-stl.com /ency/article/003185.htm (183 words)

	Breast Augmentation Revision: Capsule Contracture: Advanced Art of Cosmetic Surgery (Site not responding. Last check: 2007-09-19)
		Though not absolutely certain, the cause of most instances of capsule contracture appears to be related to transient or long - term bacterial contamination of the implant surface, leading to the formation of an inflammatory scar around the implant, walling it off from the body.
		Treatment of capsule contracture usually requires removal of the s car around the implant, along with the establishment and maintenance of an oversized pocket to limit the tendency of recurrent pocket closure and encroachment on the volume of the implant itself.
		Prevention of capsule contracture is favored by placement of implants under the muscle and via a route that avoids potential implant contamination with germs, including those that normally reside in the ducts of the breast tissue.
	www.advanced-art.com /Breast-Aug-Rev-CapCon.htm (581 words)

	MedForumsLive.comDupuytren Contracture (Site not responding. Last check: 2007-09-19)
		In medical terms, the inherited form of Duputren's contracture is transferred in the family as a so-called autosomal dominant trait with incomplete penetrance and partial sex-limitation.
		Interestingly, Dupuytren contracture is sometimes associated with inflammation and thickening of the fascia tissue in a similar manner of the sole of the foot.
		Dupuytren's contracture is diagnosed by the doctor during the physical examination of the affected hand.
	www.medforumslive.com /terms/dupuytren_contracture.html (765 words)

	Diseases & Conditions/Dupuytrens Contracture
		Dupuytren's Contracture was first described in 1831 by Baron Guillaume Dupuytren, a celebrated French surgeon.
		The exact cause of Dupuytren's Contracture is unknown though it may be seen with other connective tissue diseases and is generally described as genetic by hand surgeons.
		Currently, the most common treatment for Dupuytren's Contracture is surgery involving the removal of the collagen bands responsible for the hand deformity.
	www.pdlabs.net /dupuytrens.html (314 words)

	Dupuytren's Contracture
		Dupuytren's contracture is a condition commonly found in all northern European countries, Scandinavia and Russia.
		The cord or band creates a flexion contracture at the finger joints as it crosses the joints; or, in other words, the cord pulls the finger into a bent position.
		A progressive contracture is regarded as an indicator for surgery and is best demonstrated when the hand can no longer be placed flat on a table top.
	www.newbernortho.com /dupuytren_s_contracture.htm (1064 words)

	Breast Augmentation and Capsular Contracture of the Breast Implant
		While capsular contracture is an unpredictable complication, it is also the most common complication of breast augmentation.
		Textured implants help deter contracture because of their rough surface which is intended to discourage a hard capsule from forming.
		The most appropriate treatment for capsular contracture is complete capsulectomy, or removal of the entire thickened capsule surrounding the breast implant such as in the specimen shown above.
	www.implantforum.com /capsular-contracture (630 words)

	AllRefer Health - Volkmann's Ischemic Contracture (Ischemic Contracture) (Site not responding. Last check: 2007-09-19)
		Volkmann's contracture is a deformity of the hand, fingers, and wrist caused by injury to the muscles of the forearm.
		Volkmann's contracture occurs when there is a lack of blood flow (ischemia) to the forearm, usually caused by increased pressure that results from swelling ( compartment syndrome).
		In Volkmann's contracture, the muscles of the forearm are severely injured, resulting in contracture deformities of the fingers, hand, and wrist.
	health.allrefer.com /health/volkmanns-ischemic-contracture-info.html (505 words)

	Dupuytren's contracture
		Dupuytren's contracture is a thickening and shortening of this web of fascia that gradually causes clawing of the fingers as they are pulled towards the palm.
		Over time, as the contracture develops, the fingers become clawed as they are pulled towards the palm.
		Dupuytren's contracture is a thickening and shortening of tissue in the palm, resulting in clawed fingers as they are pulled towards the hand.
	www.disability.vic.gov.au /bhcv2/bhcarticles.nsf/pages/Dupuytren's_contracture?OpenDocument (649 words)

	Dupuytren's Contracture (Site not responding. Last check: 2007-09-19)
		upuytren's contracture results from an abnormality of fascia, or tissue under the skin, of the palm of the hand.
		A contracture of approximately 30 degrees at the MP joint (the m etacarpo p halangeal joint—where the knuckles form the ridge at the base of the fingers) or at the proximal interphalangeal joint (at the knuckle next closer to the fingertip) should be corrected.
		Dupuytren's contracture occurs mostly in men who are 50 to 60 years of age or older, and in individuals of European or Scandinavian origin.
	www.dochand.com /7A2_index.html (269 words)

	Dupuytren's Contracture
		Contractures which only affect the MCP joint are most predictably helped by either needle aponeurotomy or surgery.
		Contractures which only affect the PIP joint are the most likely to recur after treatment, especially in the pinky finger.
		Contractures which affect both the PIP and DIP joints have a similar outlook as combined contractures - unless the finger develops a backwards bend of the DIP joint - called a "boutonniere" deformity.
	www.eatonhand.com /hw/hw009.htm (1317 words)

	eMedicine - Dupuytren Contracture : Article by Don R Revis, Jr, MD
		Dupuytren contracture is most commonly observed in persons of northern European descent, and it may be severe enough to result in debilitating finger contractures.
		Whether the changes are partly responsible for the resulting contractures or are merely the result of the physical forces being applied to the palmar fascia is unknown.
		PIP joint contractures are usually not completely corrected (20-56% are corrected) and occasionally may be exacerbated by surgery (25%).
	www.emedicine.com /med/topic592.htm (3240 words)

	Procedures for Carpal Tunnel Syndrome and Dupuytren's Contracture
		The contracture of the skin of the palm and progression to the contracture of one or more fingers into the palm bears the name Dupuytren’s contracture after the Frenchman who wrote about the disease and operated on patients with it one hundred and seventy years ago.
		Although sizable nodules can form on the arch of the foot, contracture of the toes does not occur and it is the contracture of the fingers that is disabling and brings patients to seek treatment.
		In releasing a significant digital contracture from Dupuytren’s disease, it is frequently necessary to resurface open areas with full thickness skin grafts because of skin contracture and a relative lack of skin when a finger is straightened.
	www.lynndketchum.com /surgeries.htm (1842 words)

	Dupuytren's Contracture (Site not responding. Last check: 2007-09-19)
		Dupuytren's Contracture is a benign or non-cancerous condition, which affects the palm of the hand and fingers.
		Dupuytren's Contracture typically begins as a thickening of the tissue of the palm in the form of a nodule or lump.
		Surgery is not a permanent cure and the contracture may develop later in previously unaffected areas and occasionally recur in the operated area.
	www.hsrnj.com /MedicalProblems/Dupuytrens.asp (388 words)

	DUPUYTREN'S CONTRACTURE
		Dupuytren's contracture is a disease affecting the fascia of the digits and palms.
		Dupuytren's contracture develops from normal fascia and the cause is unknown.
		Dupuytren's contracture in women and in those individuals less than 40 is felt to represent a more severe form and contractures are considered more likely in these individuals.
	www.muir-orthopedic.com /patient_ed_docs/dc_pe_doc.htm (708 words)

	Dupuytren''s Contracture (Site not responding. Last check: 2007-09-19)
		Dupuytren's contracture, also called Dupuytren's disease, usually begins with a thickening of the skin in the palm of the hand, which may develop into a hard lump or thick band that eventually could cause the fingers to contract, or pull into the palm.
		It is thought to be a hereditary disease, which means it is inherited from the family, but the exact cause is unknown.
		Dupuytren's contracture may be associated with cigarette smoking, epilepsy, diabetes, and alcoholism, and usually presents in middle age.
	www.healthsystem.virginia.edu /uvahealth/adult_plassurg/dupuy.cfm (399 words)

	Dupuytren's Contracture (Site not responding. Last check: 2007-09-19)
		Dupuytren's contracture is a fibroproliferative condition that primarily affects the palmar and digital fascia and can cause contractures of the metacarpal phalangeal and interphalangeal joints of the hand.
		Dupuytren's contracture is common among individuals with diabetes, and the incidence increases with the age of the patient and the duration of the diabetes (12, 13).
		A PIP joint contracture of 30 degrees or more is an indication for surgery (25) as is a severe adduction contracture which can cause skin breakdown because of the patient's inability to separate the digits.
	www.wsiat.on.ca /english/mlo/dupuytren_screen.htm (3679 words)

	Occupational disease issues about Dupuytren's Contracture and Hand Injury as recommended to the Workers' Compensation ...
		Dupuytren's Contracture (named after the French surgeon who first lectured on this condition) is a disease of the palmar fascia that causes thickening and contracture of fibrous bands at the palmar surface of the hands and fingers.
		Dupuytren's Contracture (DC) is a disease of the palmar fascia (aponeurosis) resulting in thickening and contracture of fibrous bands on the palmar surface of the hands and fingers; the principal clinical deformity is a slowly progressive flexion of the fingers.
		Dupuytren's Contracture (DC) is a thickening of the tissue pad under the palm of the hand; the principal clinical deformity is a slowly progressive and irreversible flexion of the fingers (Glimcher and Peabody, 1990).
	www.canoshweb.org /odp/html/rpt17.htm (16678 words)

	OMIM Entry 126900 (Site not responding. Last check: 2007-09-19)
		Dupuytren contracture is a connective tissue disorder which is mainly confined to Caucasians and is particularly prevalent among persons of northern European extraction.
		The proband's paternal grandfather had thickening of the right palmar fascia from age 11 years, resulting in a contracture of the fifth finger by age 45.
		Contracture was observed in 5 individuals, 4 of whom had hypodontia.
	www.hgmp.mrc.ac.uk /cgi-bin/wrapomim?126900 (598 words)

	FindArticles search for "Contracture"
		INTRODUCTION The major complications of deltoid contracture frequently encountered are abduction contracture, winging of the scapula, humeral head flattening...
		Capsular contracture may be reduced or eliminated by a new antibiotic solution developed by researchers at the University of Texas Southwestern Medical...
		We treated post-traumatic contracture of the elbow in 13 consecutive patients (14 elbows) by operative release.
	www.findarticles.com /p/search?tb=art&qt=Contracture (824 words)

	Safe method for release of severe post burn neck contracture under tumescent local anaesthesia and ketamine Agarwal ... (Site not responding. Last check: 2007-09-19)
		The traction forces caused by burn scar contracture may pull and cause insufficient neck extension, incomplete oral occlusion, cicatricial ectropion, and tracheal alterations affecting respiration.
		Thirty patients of severe post burn neck contracture with age ranging from 12 to 50 years were operated under local tumescent anesthesia supplemented with intravenous ketamine.
		After waiting for 20 minutes the neck contracture was released and hemostasis achieved, and amount of split skin graft required was estimated.
	www.ijps.org /article.asp?issn=0970-0358;year=2004;volume=37;issue=1;spage=51;epage=54;aulast=Agarwal (1278 words)

	Breast Augmentation - Repairing Breast Implants - Seattle, Washington - Dr. Curran Smith MD
		Capsular contracture is one of the most common complications of breast augmentation.
		Contracture results when the normal scar tissue pocket that forms around each of the breast implants (the CAPSULES) shrink in size and forces the implants into the shape of a ball, usually pushing it upwards too far above the nipple.
		Although other procedures may be required, the primary treatment for contracture is removal of the capsule (CAPSULECTOMY) or incisions in the scar tissue capsule (CAPSULOTOMY) and the placement of cortisone around the implant, which inhibits contracture of the new capsule.
	www.yournaturalbeauty.com /contracture.asp (349 words)

	Disease - Volkmann´s ischemic contracture - Hartford, Connecticut
		However, once a muscle contracture is established, reconstructive surgery to lengthen and sometimes transfer muscles is necessary to try to regain some hand function.
		Those with mild muscle contractures involving only a few fingers can expect better return to normal function than someone who loses normal function of all the muscles that move the fingers and wrist.
		The condition of Volkmann´s contracture is itself a complication of compartment syndrome.
	www.saintfranciscare.com /14265.cfm (899 words)

	Capsule_Contracture
		Concerning capsule contracture (i.e., a firm to hard breast from scar contracture around a breast implant), I have developed my opinions based upon my experience, as well as information published in the plastic surgical literature.
		In my opinion, there is no way to prevent a capsule contracture or adequately treat a capsule contracture, unless the implants are placed totally under the muscle, or at least lifting any remaining muscle off the ribs with corrective surgery once a capsule contracture has occurred.
		This is because of the fact that any soft tissue left intact behind the implant, (as with sub-mammary or sub-pectoral placement) is more flexible than the ribs, and the scar tissue can tighten as much as that soft tissue will allow, and there is essentially nothing that can be done about it.
	www.drmossie.com /Capsule_Contracture_BA.html (591 words)

	Welcome to CJW Medical Center's Web Site (Site not responding. Last check: 2007-09-19)
		Dupuytren's contracture is a thickening and shortening of the fascia in the palm of the hand.
		The exact cause of Dupuytren's contracture is unknown.
		As a contracture progresses, the nodule becomes a thickened fibrous cord that extends into the finger under the skin.
	healthinfo.healthgate.com /getcontent.aspx?siteid=83cdf2ae-1739-11d4-a2d1-00508b62be1f&docid=/dci/dupuytren& (395 words)

	AllRefer Health - Dupuytren's Contracture
		Dupuytren's contracture is a painless thickening and contracture of tissue beneath the skin on the palm of the hand and fingers.
		Progressive contracture may result in deformity and loss of function of the hand.
		The cause of this contracture is unknown, but minor trauma and genetic predisposition may play a role.
	health.allrefer.com /health/dupuytrens-contracture-info.html (344 words)

	Dupuytren’s Contracture (Site not responding. Last check: 2007-09-19)
		Dupuytren’s contracture (DC) is one of the most common diseases of the hands.
		Contracture term is used to indicate that this disease is related to some kind of contraction function.
		Especially people who have Dupuytren’s contracture running in their families should take all the possible prevention against it.
	www.herbalstand.com /catalog/Ailments/Dupuytrens_Contracture.htm (723 words)

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