Overview
Dupuytren’s disease, or Viking’s disease, is a genetic disorder that causes nodules in the palm of the hand that can then develop into cords.
These cords can lead to a finger contracture preventing extension of the finger and limiting range of motion. When this occurs, various options can be offered to restore function of the hand.
Dr. Anup Patel Advantage
Dr. Anup Patel works with each patient on an individual basis to determine when intervention is necessary. Often, if surgery is provided too early, a Dupuytren’s flare can occur causing more cords and severe recurrence. Therefore, it is imperative when to intervene for a patient’s disease and what options to provide.
If Dr. Patel determines Xiaflex (collaganese) is an option and approval can be obtained, then this product can be injected into the cord in the office and use to break the cord in 48 hours. Many times patients require surgical intervention.
Dr. Patel as a microsurgeon performs precise dissection to prevent injury to the digital nerves and arteries, while separating the cord that is stuck to these important structures. The patient then goes to an occupational therapy to help prevent recurrence and scarring from the surgery.
Symptoms
- Nodules in the palm
- Cords in the palm causing inability to extend the finger
Causes
- Genetic disorder prevalent in patients with Northern European ancestry
- Excessive collagen deposition in the fingers
Treatment (Non-Operative)
- Splints
Treatment (Operative)
- Xiaflex (collaganese) Injection
- Surgery
Patient 1
55 year old female presents with right ring finger Dupuytren’s cord preventing the patient from extending. She underwent regional fasciotomy with full range of motion shown at 2 months.
Patient 2
40 year old male who underwent Dupuytren’s release by two outside surgeons presents with severe contracture and scarring. He underwent extensive regional fasciotomy with full range of motion shown at 2 months.
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Dr. Anup Patel
Dr. Anup Patel is a board-certified plastic and reconstructive surgeon trained in aesthetic, hand/upper extremity and reconstructive surgery. He completed his plastic and reconstructive surgery training at the premier Yale University followed by a hand and microsurgery fellowship at the New York University Institute of Reconstructive Plastic Surgery and Mount Sinai Department of Orthopedics. Dr. Patel received his MD and MBA from the Yale University School of Medicine and Yale University School of Management, respectively. He graduated as the valedictorian of his class at the University of Florida majoring in economics, biochemistry and molecular genetics and valedictorian of his high-school class at Lake Highland.
