Dupuytren's disease Thomas B Hughes, MD, Anthony Mechrefe, MD, J.William Littler, MD, Edward Akelman, MD Journal of the American Society for Surgery.

Dupuytren's disease Thomas B Hughes, MD, Anthony Mechrefe, MD, J.William Littler, MD, Edward Akelman, MD Journal of the American Society for Surgery of the Hand Volume 3, Issue 1, Pages (February 2003) DOI: /jssh

Fig. 1 Normal anatomy palm and finger.
Journal of the American Society for Surgery of the Hand 2003 3, 27-40DOI: ( /jssh )

Fig. 2 Anatomic locations of Dupuytren's nodules and cords.

Fig. 3 Pretendinous cord with palmar nodule ring finger.

Fig. 4 Abnormal palmar and digital anatomy.

Fig. 5 Flexion contracture small finger caused by Dupuytren's.

Fig. 6 Neurovascular displacement by a spiral cord.

Fig. 7 Preoperative flexion contractures of ring and small finger with surgical indications. Journal of the American Society for Surgery of the Hand 2003 3, 27-40DOI: ( /jssh )

Fig. 8 Pretendinous cord in the palm during dissection.

Fig. 9 Initial palmar dissection isolating the neurovascular bundle.

Fig. 10 Dissection of pretendinous cord with neurovascular bundle and flexor tendons well visualized. Journal of the American Society for Surgery of the Hand 2003 3, 27-40DOI: ( /jssh )

Fig. 11 Full dissection completed with neurovascular bundles that should be carefully protected. Journal of the American Society for Surgery of the Hand 2003 3, 27-40DOI: ( /jssh )

Fig. 12 Spiral cord with neurovascular bundle pulled midline.

Fig. 13 Neurovascular bundle seen after excision of diseased cord.

Fig. 14 Small finger fully released at the PIP joint with drain in place. Skin closure using a flat silastic drainage and Brunner incision. Journal of the American Society for Surgery of the Hand 2003 3, 27-40DOI: ( /jssh )

Dupuytren's disease Thomas B Hughes, MD, Anthony Mechrefe, MD, J.William Littler, MD, Edward Akelman, MD Journal of the American Society for Surgery.

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Dupuytren's disease Thomas B Hughes, MD, Anthony Mechrefe, MD, J.William Littler, MD, Edward Akelman, MD Journal of the American Society for Surgery.

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Presentation on theme: "Dupuytren's disease Thomas B Hughes, MD, Anthony Mechrefe, MD, J.William Littler, MD, Edward Akelman, MD Journal of the American Society for Surgery."— Presentation transcript:

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