Dupuytren’s contracture
OrthopedicsDupuytren's contracture is a non-inflammatory pathology that affects the tendons of the palms. Shortening of the tendons entails impairment of the natural functions of the entire hand, difficulty in grasping and holding objects, as well as hand support.
Treatment methods
The pathologic condition slowly progresses in middle age and old age. Young patients face a rapid progression of the disease and need immediate medical attention. MDI Clinic Medical Center provides qualified services and assistance in timely diagnosis, as well as comprehensive treatment of the disease.
Causes of pathological condition development
Dupuytren’s contracture is based on Dupuytren’s disease, in which collagen production in the fingers and palms is impaired. Excessive collagen production leads to the formation of nodular and elongated type seals, i.e. thighs. They cause the fingers to duck into the palms of the hands without the ability to straighten.
It is noteworthy that pathology usually does not cause painful sensations. Only 10% of patients experience pain, with no clear localization. The painful sensations spread to the entire arm, and in some cases radiates to the shoulder.
Diagnosis of pathology
Timely detection of the abnormality and prompt treatment is an opportunity to slow the disease to continue normal life unhindered. At the first symptoms of the disease – seals on the palms of the hands, you should seek the support of a qualified orthopedist.
You can already identify the problem by visual inspection, after evaluation:
- of passive finger positioning;
- of blistered areas;
- bumps on the skin.
Palpation allows you to determine the position of nodules, their size, as well as the initial stages of joint deformity. During the examination, the orthopedist evaluates the motor functions of the hand and fingers to determine the stage of the anomaly.
As instrumental methods aimed at differential diagnosis of diseases with similar symptomatology are used:
- radiographs of the hand;
- biopsy;
- rheovasography;
- CT scan.
These methods can rule out variants of rheumatoid arthritis, ischemic contracture, and connective tissue neoplasms.
Treatment of Dupuytren’s contracture in Israel
Specialists of MDI Clinic medical center implement such approaches to the treatment of pathology:
- The methodology of watchful waiting. Assumes observation of the condition and surgical intervention only if the problem worsens. This option is relevant in terms of minimizing the number of treatment procedures prescribed to the patient.
- Non-invasive or minimally invasive techniques. Rapidly gaining the attention of specialists, overshadowing the watchful waiting methodology. MDI Clinic uses stretching and injections, needle aponeurotomy to separate the pulls, and collagenase injections directly into the pulls to break up the tight tissues.
- Surgical interventions. Appointed at late stages of pathology or when traditional methods do not help. In this case, surgeons extract the abnormal tissue for the patient’s relief.
Advantages of contacting MDI Clinic medical center
Specialists of the clinic have vast experience of work and successful treatment in the field of orthopedics. Modern techniques, advanced equipment and drugs allow us to cope with pathologies and abnormalities with the best results, providing the patient with a normal life without restrictions.
The best doctors in Israel
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Prof. Yakov BIKELS
Orthopedist
Orthopedic oncologist -
Dr. Alon FRIEDLANDER
Surgeon
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Prof. Izhar FLUMAN
Surgeon
Neurosurgeon
Orthopedist -
Dr. Vadim BENKOVICH
Orthopedist
Endoprosthetist -
Dr. Ron ARBEL.
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Orthosurgeon -
Dr. Igor KAZANSKY
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Trauma surgeon
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Dr. Matatiyagu NOF
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Dr. Yohanan KHOREV
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Dr. Tomer CRAVEL
Pediatric orthopedist
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Dr. Naum SIMANOVSKY
Pediatric orthopedist
Pediatrician
Traumatologist
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Dr. Binyamin BENDER
Orthopedist
Orthosurgeon
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Dr. Ishay ROSENBLAT
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Dr. Boaz Lieberman
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Dr. Suzanne Horowitz
Orthopedist
Surgeon -
Dr. Esther RUBINRAUT
Surgeon
Diagnostician -
Dr. Yigal BRONSTEIN
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Spinal surgeon -
Dr. Amos Schindler
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Dr. Aaron Menachem
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Dr. Nimrod SNIR
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Dr. Lionel Kopelevich.
Pediatric orthopedist
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Dr. Ran LADOR
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Dr. Dror Ovadia
Pediatric orthopedist
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Dr. Alexander LIPKIN
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Dr. Nir (Nazar) NAZAROV
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Prof. Shlomo WEINTRAUB
Pediatric orthopedist
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Dr. Ron LAMDAN
Pediatric orthopedist
Surgeon -
Dr. Ilya Pekarsky
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Surgeon -
Dr. Gabriel Moses
Orthopedist
Surgeon -
Prof. Yehuda KOLANDER
Orthopedist
Orthopedic oncologist
Oncosurgeon -
Dr. Itamar BOCER
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