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Dupuytren's disease

It is a hereditary disease characterized by a pathological production and storage of collagen.

The formation of a nodule is followed by the progressive fibrous retraction of the palmar aponeurosis, which results in a permanent, progressive and irreducible flexion of one or more fingers of the hand.

  • man-woman ratio: 8 to 1

  • it tends to decrease in the 7th and 8th decades

  • age between 40 - 60 years

  • frequently bilateral (30-50% of cases)

  • frequently affects the ulnar side (70-80%) IV + V finger

  • etiopathogenesis: discussed

  • possible relapses even after surgery, at the moment there is no definitive medical therapy or a way to prevent it

  • pain, local or radiated, is generally absent even in the more advanced stages

  • functional damage is progressive

  • sneaky onset

  • formation of subcutaneous nodules, most frequently at the level of the head of the IV ° - V ° - III ° metacarpus

  • appearance of cords in the same location

  • progressive flexion of the first and second phalanx of the affected fingers

dupuytren fisioterapia mano strugari fir
Post surgical physiotherapy treatment

The treatment aims at the correction of the flexion contracture and the recovery of the total range of motion to restore functionality to the hand.

Surgical fascectomy gives good long-term results and is also indicated for cases with contracture greater than 60 °, however it has the disadvantages related to the surgical procedure and post-operative recovery times.

Needle cordotomy is a minimally invasive technique, but has a high probability of recurrence. It is indicated for those patients for whom the intervention is not recommended,

The Xiapex drug technique uses this enzyme injecting it into the string. The day after the injection, the finger extension procedure is performed in order to cause the rope to break. As vataggi it has the rapid return to activity, the possibility of using and washing the hand the day immediately following the traction, the absence of large surgical scars and the shorter duration of post-treatment physiotherapy.

Rehabilitation generally involves:



➡️ Targeted exercises

➡️ Mobility recovery

➡️ Scar treatment

➡️ Edema treatment


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Conservative physiotherapy treatment

This pathology does not manifest itself equally in individuals and often not even in the usual person or in the usual hand. There may be fingers more affected, others less, there may be a rapid progression as well as the patient may remain alone with a lump for many years without causing any kind of functional problems. Taking this into account and that we generally notice possible changes in the long term, the rehabilitation program is difficult and there is not enough evidence in the studies about it. It is certainly a pathology that must be monitored over time, perhaps using photos and the Table Test by placing the palm on a table.


➡️ Stretching exercises

➡️ Extender enhancement

➡️ Custom made extension night tutor


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