Dupuytren's Disease
Morbus Dupuytren is particularly widespread among northern Europeans, but the therapeutic success-rate often leaves much to be desired. A 50% recurrence rate after surgery indicates that the disease cannot be treated by surgery alone. This book adopts two parallel approaches: 1. emphasis is firstly placed on the systemic character of morbus Dupuytren in context with other connective tissue diseases by a description of the biochemical and molecular-biological changes in the diseased connective tissues; 2. a diversified picture of the given anatomical facts serves to explain the employment of the various therapeutic approaches.In addition to the aspects of conservative therapy, a description is given of current surgical procedures including the complications, and accompanied by basic drawings. The book is intended for all those interested in a comprehensive up-to-date survey of morbus Dupuytren and instructive information on the established therapeutic concepts.
| ISBN: |
321183656X |
| Publisher: |
Elsevier |
| Binding: |
Hardcover |
| No. of Pages: |
233 |
| Contents: |
| Introduction.- Dupuytren's contracture - overview of its medical history.- Epidemiology.- Theories about aetiology and pathogenesis.- Basic substance and cells of the extracellular matrix.- Subjective complaints.- Symptoms of Dupuytren's contracture.- Course of Dupuytren's contracture.- Anatomy of the palmar fascia (G. M. Rayan).- Classification.- Conservative treatments.- Aim of surgery.- Surgical indications.- Choice of surgical method (the classical methods).- Contraindications.- Patient education.- Preparation of surgery.- Instruments.- Anaesthesia and positioning.- Additional measures to improve manual function.- Postoperative treatment.- Mistakes, risks, complications.- Results.- Conclusions.- Bibliography.- Acknowledgements. |
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