Comprised exclusively of clinical cases involving Dupuytren’s contracture, this concise, practical casebook will provide clinicians in orthopedics and hand surgery with the best real-world strategies to properly diagnose and treat this recurrent disease of the fascia. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls and pitfalls. Initial chapters discuss non-operative treatments ranging from orthosis/tissue mobilization, corticosteroid injections, needle aponeurotomy and collagenase injections. Various surgical interventions follow, including fasciotomy, fasciectomy, open palm, and dermatofasciectomy. Chapters discussing the use of skin grafting, illustrating the special challenges associated with revision surgery, and “end of the line” interventions such as arthrodesis and amputation are also included. Less common aspects of Dupuytren’s are reviewed as well, as are cases that address treatment and special consideration in younger patients, the role/use of dynamic external fixators in Dupuytren’s care, correction of distal interphalangeal (DIP) joint contractures and treatment of dorsal finger (Garrod’s) nodes. Pragmatic and reader-friendly,
Dupuytren’s Contracture: A Clinical Casebook will be an excellent resource for orthopedic and hand surgeons alike.
Inhoudsopgave
Non-operative treatment of Dupuytren’s contracture.- Treatment od Dupuytren’s contracture with needle aponeurotomy.- Ultrasound assisted needle aponeurotomy in the management of Dupuytren’s contracture.- Fat injection in association with needle aponeurotomy.- Steroid injection in association with needle aponeurotomy.- Clostridial collagenase injection for Dupuytren’s contracture.- Radiation therapy for Dupuytren’s Contracture.- Minimally invasive partial fasciectomy.- Surgical fasciotomy for Dupuytren’s contracture.- Surgical fasciectomy for Dupuytren’s contracture.- Wide awake fasciectomy for Dupuytren’s contracture.- Surgical open palm (Mc Cash) technique.- Surgical dermatofasciectomy.- Treatment of recurrent disease with needle aponeurotomy.- Treatment of recurrent disease with clostridial collagenase.- Surgical fasciectomy for recurrent disease.- Skin grafting in the surgical treatment of Dupuytren’s contracture.- Use of dynamic external fixator (Digit Widget) in Dupuytren’s contracture.- Arthrodesis in the treatment of Dupuytren’s contracture.- Amputation in the treatment of recurrent Dupuytren’s contracture.- Treatment of painful Dupuytren’s nodules.- Treatment of dorsal PIP (Garrod’s) nodules.
Over de auteur
Marco Rizzo, MD, Professor, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.
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