Date of Award

1998

Document Type

Scholarly Project

Degree Name

Master of Physical Therapy (MPT)

Department

Physical Therapy

First Advisor

Beverly Johnson

Keywords

Dupuytren Contracture

Abstract

Dupuytren's disease is defined as a pathologic change in the palmar and digital fascia which often results in a secondary, painless, fibrous, flexion contracture of the digital joints. Normally, the disease process is painless, but a severe contracture of 30° or more at the metacarpophalangeal joint and 15° or more at the proximal interphalangeal joint can interfere with the biomechanics of the hand, preventing the performance of activities of daily living. Though the use of modalities is ineffective as a conservative approach to treat the disease, a therapist can positively affect postoperative rehabilitation outcomes using manual techniques, physical modalities, and exercises.

The purpose of this literature review is to describe the etiology and pathologic anatomical structures involved in the disease, indications for surgery, specific surgical techniques, postoperative rehabilitation measures, and common postoperative complications. Presenting this information will provide clinicians with further knowledge about the disease process and help clinicians apply proper treatment techniques when confronted with the challenging disease.

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