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Viking Disease

Does anyone in your family suffer from this condition?

Dupuytren’s contracture is a fixed flexion contracture of the hand due to a palmar fibromatosis, where the fingers bend towards the palm and cannot be fully extended.

Tradition has it that the disease originated with the Vikings, who spread it throughout Northern Europe and beyond as they traveled and intermarried with local populous.

 

Definition:

Dupuytren’s contracture is a disease of the palmar band that leads to a gradual contraction of the fingers towards the palm.

 

Etiopathogenesis:

The etiology is unknown. Is more common in men over 50 years of age. It is more common in some families, with cirrhotics, diabetics, and epileptics. Pathological find nob thickening inside the palmar band in the palm, usually on the ulnar half of the hand between the fourth and fifth metacarpal bone.

 

Clinical picture:

With time arises flexion contracture in the metacarpal area and proximal interphalangeal joints. Contracture has trouble working, washing and handling. The changes can be one-sided and double-sided. The palm side of the hand was very hard and of course, that is all it is painful. The results of these changes are a big fist deformation that leads to severe disorders of functions of movement, although there is no direct involvement of the joints and tendons.

In about l0% of patients, there is a complex thickening.

There are three stages of the disease, depending on the size of the damage.

 

Treatment:

After surgery, physical therapy is important.

 

Complications of surgery:

hematoma
skin disease
digital nerve injuries
Younger men and women are more likely relapses

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