Dupuytren's nodule corticosteroid injection

As you’ve just heard in the video, trigger thumb is a common and debilitating condition. The tendons in your thumb and fingers are covered in a tunnel like structure of tissues that are called sheaths. If you have trigger thumb, your tendons have become inflamed. Because of this inflammation or swelling, your tendons are no longer properly gliding through your sheaths. When this happens, the base of your fingers may lock up, click, or pop. Essentially, your fingers get stuck in a non relaxed position. This has the potential to be a very painful and frustrating condition, as you lose the full function of your thumbs. This condition can happen to all of your fingers including your thumbs, index, middle, ring, and pinky.

The spiral cord, shown by the white arrow in Figure A, can displace the neurvascular bundle (blue arrow) and places it at risk during surgical resection. Dupuytren's contracture is a rare and progressive condition characterized by contractures of the fascia of the hand as seen in Illustration A. The fascial components involved in the disease include the pretendinous bands, spiral bands, natatory bands, lateral digital sheets, and Grayson's ligament. The offending cell is the myofibroblast which causes the normal structures to become fibrosed. Once these normal bands become pathologically involved in the disease process, they are termed cords. An easy way to remember this is that bands are normal, and cords are abnormal. The spiral cord travels dorsal to the NVB and displaces it volarly, placing it at risk during surgical resection. Example is shown in Illustrations B. Of note, Cleland's ligament is not involved in this disease process.

Other XIAFLEX-associated serious local adverse reactions included pulley rupture, ligament injury, complex regional pain syndrome (CRPS), sensory abnormality of the hand, and skin laceration (tear). In a historically controlled post-marketing trial, the incidence of skin laceration (22%) was higher for subjects treated with two concurrent injections of XIAFLEX compared with subjects treated with up to three single injections in the placebo-controlled premarketing trials (9%). Cases of skin laceration requiring skin graft after finger extension procedures have been reported post-marketing. Signs or symptoms that may reflect serious injury to the injected finger/hand should be promptly evaluated because surgical intervention may be required.

Dupuytren's disease (Dupuytren disease), also called Dupuytren's contracture or simply Dupuytrens, is a benign thickening of the palm's or finger's connective tissue. Dupuytren disease is the most crippling hand problem and affecting many people, especially when they get older. Dupuytren disease typically starts with a tiny nodule in the palm. Eventually cords develop and in progressed stages the affected fingers cannot be fully stretched anymore, thus resulting in what is called "Dupuytren's contracture". Note that below picture is showing a very progressed stage of Dupuytren's contracture. Most patients have much less severe symptoms of Dupuytren disease and many people with initial symptoms of Dupuytren's will never need any treatment at all. For those who need treatment, a variety of treatments is available, depending on the stage of disease and on the preference of the patients. All these treatments options of Dupuytren disease are explained on this website, including their potential side effects.

Dupuytren's nodule corticosteroid injection

dupuytren's nodule corticosteroid injection

Dupuytren's disease (Dupuytren disease), also called Dupuytren's contracture or simply Dupuytrens, is a benign thickening of the palm's or finger's connective tissue. Dupuytren disease is the most crippling hand problem and affecting many people, especially when they get older. Dupuytren disease typically starts with a tiny nodule in the palm. Eventually cords develop and in progressed stages the affected fingers cannot be fully stretched anymore, thus resulting in what is called "Dupuytren's contracture". Note that below picture is showing a very progressed stage of Dupuytren's contracture. Most patients have much less severe symptoms of Dupuytren disease and many people with initial symptoms of Dupuytren's will never need any treatment at all. For those who need treatment, a variety of treatments is available, depending on the stage of disease and on the preference of the patients. All these treatments options of Dupuytren disease are explained on this website, including their potential side effects.

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