Four Cases of Dupuytren Contracture
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We have experienced 4 cases of Dupuytren contracture during past one year. Our incidence of sex (3 male, 1 female), age (from 47 to 80, average 63.3) and finger involvement (3rd, 4th, 5th finger) were similar to many other reports. An operative procedure was performed on two cases (case 3, case 4).Case 3: Age 47, male, a office worker, became aware of subcutaneous indurations in the left palm about 10 years ago and gradually became suffering from contracture of the 3rd, 4th and 5th finger. He also noted indurations in the right palm and both plantar redions about 2 years ago. On February 4th 1974, a partial aponeurectomy was done to the left palm and to the right palm on April 10th. No recurrence and extension have appeaared even 8 or 10 months passed since the opration was performed.Case 4: Age 54, female, a manual worker, was caught in a washing machine and a plaster cast was applied for 2 weeks under the diagnosis of the styloid process fracture of the left ulna. She became aware of indurations in the left palm about 4 weeks after injuried and gradually became suffering from contracture of 3rd, 4th and 5th finger. Recently she noted indurations in the right palm and both plantar regions. On May 24th 1974, a partial aponeurectomy was done to the left palm, but finger contractures have recurred 6 months after operation because of the lack of post-operative physical treatment. This case may be so-called "post-traumatic Dupuytren contracture."
- 西日本整形・災害外科学会の論文
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