{"id":38521,"date":"2021-02-16T11:41:40","date_gmt":"2021-02-16T10:41:40","guid":{"rendered":"https:\/\/dev.yuveo.eu\/hand\/dupuytrens\/"},"modified":"2025-09-01T14:25:31","modified_gmt":"2025-09-01T12:25:31","slug":"dupuytrens","status":"publish","type":"page","link":"https:\/\/www.yuveo.de\/en\/hand\/dupuytrens\/","title":{"rendered":"Dupuytren&#8217;s"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"38521\" class=\"elementor elementor-38521 elementor-13458\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-56590cdb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"56590cdb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6c11de82\" data-id=\"6c11de82\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2aef2e0d elementor-widget elementor-widget-text-editor\" data-id=\"2aef2e0d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Dupuytren&#8217;s disease<\/strong> is initially characterized by the formation of coarse cords or <strong>nodular changes<\/strong>, usually on the <strong>palm of the hand<\/strong>.<\/p><p>Later, <strong>an extension inhibition\/flexion contracture of the fingers<\/strong> can be observed. The little fingers or ring fingers are most frequently affected. However, Dupuytren&#8217;s disease also occurs in the other fingers, including the thumb, where our D\u00fcsseldorf hand surgeons can often feel a cord in the first interphalangeal groove, which restricts the spread of the thumb.  <\/p><p>The inhibition of finger extension is the result of the <strong>benign proliferation of collagen<\/strong>. Similar to excessive scarring, the strands and nodes of Dupuytren&#8217;s become harder and harder and eventually contract. <\/p><p>The changes occur in the rather thin <strong>fibrous layer<\/strong> (palmar fascia), which is located between the superficial and deep fat layer of the palm and stretches from the wrist to the fingers.<\/p><p>The exact <strong>cause of Dupuytren&#8217;s disease is unclear<\/strong>. However, it is often inherited. There is also a known connection with liver disease, diabetes and the use of anti-epileptic drugs.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-143a9e52\" data-id=\"143a9e52\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43bea952 elementor-widget elementor-widget-table-of-contents\" data-id=\"43bea952\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;exclude_headings_by_selector&quot;:[],&quot;headings_by_tags&quot;:[&quot;h1&quot;,&quot;h2&quot;],&quot;marker_view&quot;:&quot;bullets&quot;,&quot;no_headings_message&quot;:&quot;No headings were found on this page.&quot;,&quot;icon&quot;:{&quot;value&quot;:&quot;fas fa-circle&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tContents\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div id=\"elementor-toc__43bea952\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<i class=\"elementor-toc__spinner eicon-animation-spin eicon-loading\" aria-hidden=\"true\"><\/i>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-737ebc5f elementor-section-height-min-height hosec elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"737ebc5f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2d8b8f6f\" data-id=\"2d8b8f6f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-175477de elementor-widget elementor-widget-heading\" data-id=\"175477de\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Yuveo Clinic<\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-28d87be9 elementor-widget elementor-widget-heading\" data-id=\"28d87be9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Special features of Dupuytren's disease<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c15f8d7 elementor-widget elementor-widget-text-editor\" data-id=\"6c15f8d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In the early stages of Dupuytren&#8217;s disease, lumps and indurations can be felt; later, in the most severe cases (grade 4), the fingers are completely bent.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0e4973 elementor-align-left elementor-tablet-align-left elementor-widget elementor-widget-button\" data-id=\"a0e4973\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/www.yuveo.de\/en\/make-an-appointment\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-long-arrow-alt-right\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Make an appointment<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-973c173\" data-id=\"973c173\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;1&quot;,&quot;sizes&quot;:[]},&quot;motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:&quot;0&quot;,&quot;end&quot;:&quot;50&quot;}},&quot;motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:&quot;0&quot;,&quot;end&quot;:&quot;30&quot;}},&quot;motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;],&quot;motion_fx_opacity_direction&quot;:&quot;out-in&quot;,&quot;motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]}}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7965c12d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7965c12d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-495d903e\" data-id=\"495d903e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4db678c7 elementor-cta--skin-cover elementor-cta--valign-middle elementor-widget elementor-widget-call-to-action\" data-id=\"4db678c7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url();\" role=\"img\" aria-label=\"\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tOccurring complaints\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tAt the beginning, slight nodular or cord-like indurations can be felt in the palm of the hand.\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-74779e58\" data-id=\"74779e58\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-49156bf6 elementor-cta--skin-cover elementor-cta--valign-middle elementor-widget elementor-widget-call-to-action\" data-id=\"49156bf6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url();\" role=\"img\" aria-label=\"\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tCure through surgery?\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tSurgery can delay the formation of new lumps or hardened strands for a long time.\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-367d4a20 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"367d4a20\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7225e339\" data-id=\"7225e339\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-458e97d2 elementor-cta--skin-cover elementor-cta--valign-middle elementor-widget elementor-widget-call-to-action\" data-id=\"458e97d2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-cta\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url();\" role=\"img\" aria-label=\"\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tDupuytren's contracture\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tContracture is a symptom of this disease, as the fingers become bent over time.\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4086d0da\" data-id=\"4086d0da\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-74990855 elementor-cta--skin-cover elementor-cta--valign-middle elementor-widget elementor-widget-call-to-action\" data-id=\"74990855\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"call-to-action.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<a class=\"elementor-cta\" href=\"#\">\n\t\t\t\t\t<div class=\"elementor-cta__bg-wrapper\">\n\t\t\t\t<div class=\"elementor-cta__bg elementor-bg\" style=\"background-image: url();\" role=\"img\" aria-label=\"\"><\/div>\n\t\t\t\t<div class=\"elementor-cta__bg-overlay\"><\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-cta__content\">\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-cta__title elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tStages of the disease\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-cta__description elementor-cta__content-item elementor-content-item\">\n\t\t\t\t\t\tOur approach to treatment depends on the stage of the contracture.\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-516d6270 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"516d6270\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3da2feae\" data-id=\"3da2feae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9517817 elementor-widget elementor-widget-heading\" data-id=\"9517817\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The operation for Dupuytren's disease in D\u00fcsseldorf<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b14c0a elementor-widget elementor-widget-text-editor\" data-id=\"5b14c0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>If <strong>Dupuytren&#8217;s disease<\/strong> causes <strong>symptoms<\/strong> or if there is an incipient curvature of the fingers, <strong>surgery<\/strong> should be considered.<\/p><p>If the time is unnecessarily delayed, the operation is usually much more complicated than if our hand surgeons had made a timely diagnosis.<\/p><p>However, it also makes absolutely no sense to remove hardenings that do not cause any discomfort.<\/p><p>Our team of hand surgeons in D\u00fcsseldorf will explain the most important strategies to you below.<\/p><h3>Minimally invasive partial cord removal as a compromise<\/h3><p><strong>Minimally invasive cord removal <\/strong>is less extensive than standard surgery.<\/p><p>We usually make a small incision 1-1.5 cm long <strong>under local anesthesia<\/strong> over the cord leading to the contracture.<\/p><p>The Dupuytren&#8217;s cord is visualized with magnifying glasses and cut. The hand surgeon then grasps the respective ends and removes as much as possible under vision (usually 1-2 cm in both directions). We can do this in several places. Finally, we suture the incisions.   <\/p><p>This surgical technique from hand surgery is particularly suitable in the following cases:<\/p><ul><li>Slow-growing strands<\/li><li>Fear of the classic operation<\/li><li>Desire for the hand to be ready for use quickly<\/li><li>Moderately severe secondary diseases<\/li><li>Necessity of blood thinning<\/li><\/ul><p>However, the hand can be used again much more quickly (usually after 2.5-3 weeks) than with traditional surgery. We operate under visualization so that we can adequately expose and protect nerves, vessels and tendons, even if their position is atypical due to the cord formation.<\/p><p>Overall, we remove significantly less of the altered tissue, which is why an earlier recurrence of contracture must be expected than with classic surgery.<\/p><h3>What is the standard operation for Dupuytren&#8217;s disease at our clinic in D\u00fcsseldorf?<\/h3><p>As a hand surgeon, the type and method of surgery for Dupuytren&#8217;s disease must be based on the severity of the disease.<\/p><p>While no special features are usually to be expected during surgery in the early stages, the procedure can become very complicated in the advanced stages. Therefore, you should not wait until the final stage for an operation. <\/p><h4>Operation in the early stages<\/h4><p>If Dupuytren&#8217;s disease is not yet too advanced, we can expose and remove the pathologically altered tissue using a <a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/z-plastic\/\">zigzag incision<\/a>. During the operation, our hand surgeons ensure that the nerves and blood vessels in the hand are spared. Even squeezing a nerve too hard with the tweezers can cause permanent damage. In the early and middle stages of Dupuytren&#8217;s disease, <strong>outpatient surgery<\/strong> in D\u00fcsseldorf is possible if there are no other reasons not to do so.   <\/p><h4>Operation at an advanced stage<\/h4><p>In the case of advanced Dupuytren&#8217;s disease, we often recommend an <strong>inpatient stay<\/strong> at our clinic in D\u00fcsseldorf. Sometimes the skin on the flexor side of the fingers has shrunk to such an extent that a regular <strong>skin defect<\/strong> is created when the finger is stretched after the cords have been removed. In such cases, we <strong>cover the defect<\/strong> by <strong>moving the skin<\/strong> or performing a <strong>skin graft<\/strong>.  <\/p><p>Due to the prolonged flexion position, there may also be pronounced shrinkage of the joint capsules.<\/p><p>By means of <strong>joint mobilization<\/strong> (stretching\/loosening with the scalpel) we then enable the straightening.<\/p><p>In these cases, it is sometimes necessary to temporarily <strong>fix<\/strong> the mobilized finger joint with a <strong>wire<\/strong> that we drill through the joint (temporary arthrodesis) in order to prevent the flexion deformity from recurring due to scar shrinkage.<\/p><h4>End-stage surgery<\/h4><p>The<strong> final stage<\/strong> of Dupuytren&#8217;s is reached with complete curvature of the fingers and stiffness of the joints. In <strong>very rare cases<\/strong>, <strong>amputation<\/strong> of a finger may be necessary in such cases, especially if the fingers have already been operated on. <\/p><p>The procedure can be performed under iv. Regional anesthesia with <strong>twilight sleep,<\/strong> plexus anesthesia<strong>(anesthesia in the armpit<\/strong>) or <strong>general anesthesia<\/strong>. If the operation is of medium complexity and there are no reasons (secondary illnesses, extreme findings) to prevent it, we can also perform the operation <strong>on an outpatient basis<\/strong> in D\u00fcsseldorf with intensive follow-up checks. <\/p><p> <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4731acb2 parent-sticky\" data-id=\"4731acb2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-483733c6 elementor-widget elementor-widget-image\" data-id=\"483733c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"#elementor-action%3Aaction%3Dlightbox%26settings%3DeyJ1cmwiOiJodHRwczpcL1wvZGV2Lnl1dmVvLmV1XC93cC1jb250ZW50XC91cGxvYWRzXC8yMDIxXC8wM1wvZHV5cHV5dHJlbi1vcGVyYXRpb24tMTAxMzV3LmpwZyIsInR5cGUiOiJpbWFnZSJ9\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"400\" height=\"354\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/duypuytren-operation-thumb.jpg\" class=\"attachment-large size-large wp-image-37826\" alt=\"duypuytren operation thumb\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/duypuytren-operation-thumb.jpg 400w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/04\/duypuytren-operation-thumb-300x266.jpg 300w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Operation for Dupuytren's disease, grade 2; Z-shaped incision; the shimmering white cord can be seen between the yellowish fatty tissue. The tendons and vascular-nerve bundles are slightly deeper in this case. <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-de0a928 titlesticky  elementor-widget elementor-widget-image\" data-id=\"de0a928\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"350\" height=\"151\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-gips-10313w.jpg\" class=\"attachment-large size-large wp-image-37553\" alt=\"yuveo\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-gips-10313w.jpg 350w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-gips-10313w-300x129.jpg 300w\" sizes=\"(max-width: 350px) 100vw, 350px\">\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Cast after the operation: The shape of the cast must be adapted to the findings and the extent of the operation. In this case, the cords on the palm, little finger, ring finger and in the crease between the thumb and index finger were surgically removed! <\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-48b44b23 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"48b44b23\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5fdc8e0f\" data-id=\"5fdc8e0f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1b242e93 elementor-widget elementor-widget-heading\" data-id=\"1b242e93\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Frequently asked questions about Dupuytren's disease  <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5e935e67 elementor-widget elementor-widget-accordion\" data-id=\"5e935e67\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-1581\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1581\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Is it possible to cure Dupuytren's disease with surgery?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-1581\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1581\"><p>Even if the surgeon is an experienced and meticulous specialist in hand surgery, Dupuytren&#8217;s disease <strong>cannot<\/strong> be cured by surgery.<\/p>\n<p>Our hand surgeons aim to remove as much of the altered tissue as possible so that it takes years for a lump or cord to reappear.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-1582\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1582\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What is Dupuytren's contracture?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-1582\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1582\"><figure id=\"attachment_26968\" aria-describedby=\"caption-attachment-26968\" style=\"width: 240px\" class=\"wp-caption alignright\"><img decoding=\"async\" class=\"wp-image-26968 size-medium\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-sche-kontraktur-10169w-240x300.jpg\" alt=\"Gard 4 Dupuytren\" width=\"240\" height=\"300\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-sche-kontraktur-10169w-240x300.jpg 240w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-sche-kontraktur-10169w.jpg 400w\" sizes=\"(max-width: 240px) 100vw, 240px\" \/><figcaption id=\"caption-attachment-26968\" class=\"wp-caption-text\">Dupuytren&#8217;s contracture, grade 4 of the little finger and ring finger<\/figcaption><\/figure>\n<p><strong>Dupuytren&#8217;s contracture<\/strong> is often mentioned in the same breath as <strong>Dupuytren<\/strong> &#8216;s disease. It is a symptom or a finding of Dupuytren&#8217;s disease, as <strong>contracture<\/strong> means a flexion deformity of the affected fingers. <\/p>\n<p>In the early stages, however, the disease is only noticeable through <strong>hardening<\/strong> and nodules<strong>(Dupuytren&#8217;s nodules<\/strong>), usually in the palms of the hands.<\/p>\n<p>There is no sign of a flexion deformity and the term contracture is simply wrong. Later, these cords can shorten like scars and lead to a restriction in the ability to extend the fingers. This can then be referred to as a <strong>contracture<\/strong>, i.e. Dupuytren&#8217;s contracture.  <\/p>\n<h4>Surgery for isolated Dupuytren&#8217;s contracture at the Yuveo Clinic D\u00fcsseldorf<\/h4>\n<p>Before a curvature occurs, <strong>stretching exercises<\/strong> can be used to try to counteract the cord.<\/p>\n<p>With further progression, the cords are as tight as wire ropes. A Dupuytren&#8217;s contracture can therefore not be stretched. <\/p>\n<h5>Strand severance:<\/h5>\n<figure id=\"attachment_26969\" aria-describedby=\"caption-attachment-26969\" style=\"width: 300px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-26969 size-medium\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-scher-strang-10168w-300x287.jpg\" alt=\"Dupuytren's, cord\" width=\"300\" height=\"287\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-scher-strang-10168w-300x287.jpg 300w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-scher-strang-10168w.jpg 450w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-26969\" class=\"wp-caption-text\">Here you can see a Dupuytren&#8217;s cord with incipient contracture.<\/figcaption><\/figure>\n<p>We can operate on an <strong>isolated Dupuytren&#8217;s contracture<\/strong> (Dupuytren&#8217;s cord) in D\u00fcsseldorf under <strong>local<\/strong> <strong>anesthesia<\/strong>. We start with an approx. 1 cm incision, cut the cord under visual control and remove any altered tissue that can be grasped. After the operation, our team of hand surgeons in D\u00fcsseldorf recommends intensive stretching exercises.  <\/p>\n<h5>Strand removal:<\/h5>\n<p><strong>Cord removal for Dupuytren&#8217;s contracture<\/strong> involves the complete removal of the cord. Larger incisions are required here than for the small operations mentioned above. However, we can remove the diseased tissue far more completely.  <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-1583\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1583\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What symptoms are typical of Dupuytren's disease?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-1583\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1583\"><figure id=\"attachment_26951\" aria-describedby=\"caption-attachment-26951\" style=\"width: 180px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-26951 size-medium\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/fingerknoetchen-polster-10136w-180x300.jpg\" alt=\"finger nodules dupuytren\" width=\"180\" height=\"300\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/fingerknoetchen-polster-10136w-180x300.jpg 180w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/fingerknoetchen-polster-10136w.jpg 240w\" sizes=\"(max-width: 180px) 100vw, 180px\" \/><figcaption id=\"caption-attachment-26951\" class=\"wp-caption-text\">Finger nodules are typical signs of Dupuytren&#8217;s disease.<\/figcaption><\/figure>\n<p>In Dupuytren&#8217;s disease, so-called knuckle pads occasionally occur on the extensor side of the fingers. Here in the picture on the middle joints of the ring finger and little finger. <\/p>\n<p>At the beginning,<strong> Dupuytren&#8217;s disease<\/strong> does not cause any symptoms. Only slight nodular or cord-like <strong>indurations<\/strong> can be felt in the palm. However, the nodular changes in the palm can cause symptoms even if they are still mild. Firm gripping then causes moderate but annoying pressure pain.   <\/p>\n<p>In the later course of the disease, these changes spread further and lead to <strong>flexion deformity<\/strong>, usually of the little finger and\/or ring finger. As already described, the other fingers and the entire palm can be affected. <\/p>\n<p>In <strong>the final stage<\/strong>, the fingers rest against the palm and can no longer be moved.<\/p>\n<p>However, the main problem is the restriction of <strong>finger extension<\/strong>. The patient&#8217;s hand often gets caught (e.g. on the edge of a trouser pocket or on bags). Furthermore, the<strong> gripping function<\/strong> of the hand is significantly restricted in terms of strength development and fine motor skills. <strong>Grip insecurity<\/strong> also increases the risk of accidents.   <\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h3 id=\"elementor-tab-title-1584\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1584\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">What is the follow-up treatment after a Dupuytren operation in D\u00fcsseldorf?<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\t<div id=\"elementor-tab-content-1584\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1584\"><p>The <strong>follow-up treatment<\/strong> for Dupuytren&#8217;s disease depends on the extent to which we had to operate.<\/p>\n<h4>Easy cases<\/h4>\n<p>In <strong>mild<\/strong> cases, you will be able to carry out independent movement exercises with stretching exercises after just a few days.<\/p>\n<h4>Moderate and severe cases<\/h4>\n<p>After surgery for high-grade findings, the surgical result can be maintained and healing accelerated by the following measures:<\/p>\n<p><strong>Physiotherapy<\/strong>: Improving the range of motion, ensuring the tendons can glide and the joints can move.<\/p>\n<p><strong>Occupational therapy<\/strong>: The main focus, however, is on the rapid recovery of function and coordination. In addition, the regeneration of affected nerve fibers is promoted (= sensorimotor-perceptive treatment). <\/p>\n<p><strong>Lymphatic drainage<\/strong>: Supports the drainage of lymphatic fluid in the event of lymph congestion after the procedure.<\/p>\n<p><strong>Scar massage<\/strong>: Supporting the softening of scarring in the tissue and preventing scar contractures.<\/p>\n<p><strong>Dynamic or static finger splints<\/strong>: Prevent \/ reduce excessive shrinkage of the scars after surgery on very advanced Dupuytren&#8217;s findings.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<script type=\"application\/ld+json\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Is it possible to cure Dupuytren's disease with surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>Even if the surgeon is an experienced and meticulous specialist in hand surgery, Dupuytren&#8217;s disease <strong>cannot<\\\/strong> be cured by surgery.<\\\/p>\\n<p>Our hand surgeons aim to remove as much of the altered tissue as possible so that it takes years for a lump or cord to reappear.<\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"What is Dupuytren's contracture?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<figure id=\\\"attachment_26968\\\" aria-describedby=\\\"caption-attachment-26968\\\" style=\\\"width: 240px\\\" class=\\\"wp-caption alignright\\\"><img class=\\\"wp-image-26968 size-medium\\\" src=\\\"https:\\\/\\\/www.yuveo.de\\\/wp-content\\\/uploads\\\/2021\\\/03\\\/dupuytren-sche-kontraktur-10169w-240x300.jpg\\\" alt=\\\"Gard 4 Dupuytren\\\" width=\\\"240\\\" height=\\\"300\\\"><figcaption id=\\\"caption-attachment-26968\\\" class=\\\"wp-caption-text\\\">Dupuytren&#8217;s contracture, grade 4 of the little finger and ring finger<\\\/figcaption><\\\/figure>\\n<p><strong>Dupuytren&#8217;s contracture<\\\/strong> is often mentioned in the same breath as <strong>Dupuytren<\\\/strong> &#8216;s disease. It is a symptom or a finding of Dupuytren&#8217;s disease, as <strong>contracture<\\\/strong> means a flexion deformity of the affected fingers. <\\\/p>\\n<p>In the early stages, however, the disease is only noticeable through <strong>hardening<\\\/strong> and nodules<strong>(Dupuytren&#8217;s nodules<\\\/strong>), usually in the palms of the hands.<\\\/p>\\n<p>There is no sign of a flexion deformity and the term contracture is simply wrong. Later, these cords can shorten like scars and lead to a restriction in the ability to extend the fingers. This can then be referred to as a <strong>contracture<\\\/strong>, i.e. Dupuytren&#8217;s contracture.  <\\\/p>\\n<h4>Surgery for isolated Dupuytren&#8217;s contracture at the Yuveo Clinic D\\u00fcsseldorf<\\\/h4>\\n<p>Before a curvature occurs, <strong>stretching exercises<\\\/strong> can be used to try to counteract the cord.<\\\/p>\\n<p>With further progression, the cords are as tight as wire ropes. A Dupuytren&#8217;s contracture can therefore not be stretched. <\\\/p>\\n<h5>Strand severance:<\\\/h5>\\n<figure id=\\\"attachment_26969\\\" aria-describedby=\\\"caption-attachment-26969\\\" style=\\\"width: 300px\\\" class=\\\"wp-caption alignright\\\"><img class=\\\"wp-image-26969 size-medium\\\" src=\\\"https:\\\/\\\/www.yuveo.de\\\/wp-content\\\/uploads\\\/2021\\\/03\\\/dupuytren-scher-strang-10168w-300x287.jpg\\\" alt=\\\"Dupuytren's, cord\\\" width=\\\"300\\\" height=\\\"287\\\"><figcaption id=\\\"caption-attachment-26969\\\" class=\\\"wp-caption-text\\\">Here you can see a Dupuytren&#8217;s cord with incipient contracture.<\\\/figcaption><\\\/figure>\\n<p>We can operate on an <strong>isolated Dupuytren&#8217;s contracture<\\\/strong> (Dupuytren&#8217;s cord) in D\\u00fcsseldorf under <strong>local<\\\/strong> <strong>anesthesia<\\\/strong>. We start with an approx. 1 cm incision, cut the cord under visual control and remove any altered tissue that can be grasped. After the operation, our team of hand surgeons in D\\u00fcsseldorf recommends intensive stretching exercises.  <\\\/p>\\n<h5>Strand removal:<\\\/h5>\\n<p><strong>Cord removal for Dupuytren&#8217;s contracture<\\\/strong> involves the complete removal of the cord. Larger incisions are required here than for the small operations mentioned above. However, we can remove the diseased tissue far more completely.  <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"What symptoms are typical of Dupuytren's disease?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<figure id=\\\"attachment_26951\\\" aria-describedby=\\\"caption-attachment-26951\\\" style=\\\"width: 180px\\\" class=\\\"wp-caption alignright\\\"><img class=\\\"wp-image-26951 size-medium\\\" src=\\\"https:\\\/\\\/www.yuveo.de\\\/wp-content\\\/uploads\\\/2021\\\/03\\\/fingerknoetchen-polster-10136w-180x300.jpg\\\" alt=\\\"finger nodules dupuytren\\\" width=\\\"180\\\" height=\\\"300\\\"><figcaption id=\\\"caption-attachment-26951\\\" class=\\\"wp-caption-text\\\">Finger nodules are typical signs of Dupuytren&#8217;s disease.<\\\/figcaption><\\\/figure>\\n<p>In Dupuytren&#8217;s disease, so-called knuckle pads occasionally occur on the extensor side of the fingers. Here in the picture on the middle joints of the ring finger and little finger. <\\\/p>\\n<p>At the beginning,<strong> Dupuytren&#8217;s disease<\\\/strong> does not cause any symptoms. Only slight nodular or cord-like <strong>indurations<\\\/strong> can be felt in the palm. However, the nodular changes in the palm can cause symptoms even if they are still mild. Firm gripping then causes moderate but annoying pressure pain.   <\\\/p>\\n<p>In the later course of the disease, these changes spread further and lead to <strong>flexion deformity<\\\/strong>, usually of the little finger and\\\/or ring finger. As already described, the other fingers and the entire palm can be affected. <\\\/p>\\n<p>In <strong>the final stage<\\\/strong>, the fingers rest against the palm and can no longer be moved.<\\\/p>\\n<p>However, the main problem is the restriction of <strong>finger extension<\\\/strong>. The patient&#8217;s hand often gets caught (e.g. on the edge of a trouser pocket or on bags). Furthermore, the<strong> gripping function<\\\/strong> of the hand is significantly restricted in terms of strength development and fine motor skills. <strong>Grip insecurity<\\\/strong> also increases the risk of accidents.   <\\\/p>\\n\"}},{\"@type\":\"Question\",\"name\":\"What is the follow-up treatment after a Dupuytren operation in D\\u00fcsseldorf?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"<p>The <strong>follow-up treatment<\\\/strong> for Dupuytren&#8217;s disease depends on the extent to which we had to operate.<\\\/p>\\n<h4>Easy cases<\\\/h4>\\n<p>In <strong>mild<\\\/strong> cases, you will be able to carry out independent movement exercises with stretching exercises after just a few days.<\\\/p>\\n<h4>Moderate and severe cases<\\\/h4>\\n<p>After surgery for high-grade findings, the surgical result can be maintained and healing accelerated by the following measures:<\\\/p>\\n<p><strong>Physiotherapy<\\\/strong>: Improving the range of motion, ensuring the tendons can glide and the joints can move.<\\\/p>\\n<p><strong>Occupational therapy<\\\/strong>: The main focus, however, is on the rapid recovery of function and coordination. In addition, the regeneration of affected nerve fibers is promoted (= sensorimotor-perceptive treatment). <\\\/p>\\n<p><strong>Lymphatic drainage<\\\/strong>: Supports the drainage of lymphatic fluid in the event of lymph congestion after the procedure.<\\\/p>\\n<p><strong>Scar massage<\\\/strong>: Supporting the softening of scarring in the tissue and preventing scar contractures.<\\\/p>\\n<p><strong>Dynamic or static finger splints<\\\/strong>: Prevent \\\/ reduce excessive shrinkage of the scars after surgery on very advanced Dupuytren&#8217;s findings.<\\\/p>\\n\"}}]}<\/script>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-737880b3 parent-sticky\" data-id=\"737880b3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-11870f18 elementor-widget elementor-widget-heading\" data-id=\"11870f18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fact check<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-700bdc9c titlesticky  elementor-widget elementor-widget-text-editor\" data-id=\"700bdc9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>1.5-2 million Germans are affected by Dupuytren&#8217;s disease.<\/li><li>The disease occurs more frequently in men than in women.<\/li><li>Dupuytren&#8217;s disease is most common in the 4th and 5th decade of life.  <\/li><li>Duputren&#8217;s disease can be associated with other fibromatoses.<\/li><li>Only isolated cases are known among Asians and Africans.<\/li><li>You will be treated by your surgeons Dr. Schumann and Dr. Schumann-Averkiou.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c43be7e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c43be7e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-6085e2d\" data-id=\"6085e2d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3d341676 elementor-widget elementor-widget-image\" data-id=\"3d341676\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"355\" height=\"450\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-naht-10170w.jpg\" class=\"attachment-large size-large wp-image-37556\" alt=\"dupuyytren naht bei op\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-naht-10170w.jpg 355w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-naht-10170w-237x300.jpg 237w\" sizes=\"(max-width: 355px) 100vw, 355px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Patient with Dupuytren's disease on the 12th day after surgery.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-a4e16ee\" data-id=\"a4e16ee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-53d0875 elementor-widget elementor-widget-image\" data-id=\"53d0875\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"274\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/streckquengel-schiene-10137w-2.jpg\" class=\"attachment-large size-large wp-image-37559\" alt=\"streckschiene nach op dupuytren\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/streckquengel-schiene-10137w-2.jpg 400w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/streckquengel-schiene-10137w-2-300x206.jpg 300w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Stretching splint for the follow-up treatment of persistent cases of Dupuytren's disease.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-17f2035\" data-id=\"17f2035\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9cb386a elementor-widget elementor-widget-image\" data-id=\"9cb386a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"370\" height=\"450\" src=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-narbe-10134w.jpg\" class=\"attachment-large size-large wp-image-37562\" alt=\"verlauf der narbe nach dupuytren op\" srcset=\"https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-narbe-10134w.jpg 370w, https:\/\/www.yuveo.de\/wp-content\/uploads\/2021\/03\/dupuytren-narbe-10134w-247x300.jpg 247w\" sizes=\"(max-width: 370px) 100vw, 370px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Typical course of the scar after surgery for Dupuytren's disease.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-41b1dd8a elementor-reverse-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"41b1dd8a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-50bcddd0\" data-id=\"50bcddd0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5a06097f elementor-widget elementor-widget-heading\" data-id=\"5a06097f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Further information and related topics  <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d5c10a6 elementor-widget elementor-widget-text-editor\" data-id=\"2d5c10a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Technical terms:<\/strong><\/p><p>The following synonyms are common: Dupuytren&#8217;s contracture, <em>fibromatosis of the palmar fascia<\/em>, <em>palmar fibromatosis<\/em> (palm = palm of the hand)<\/p><p><strong>Further information:<\/strong><\/p><ul><li id=\"elementor-tab-title-1156\" class=\"elementor-tab-title\" role=\"tab\" data-tab=\"6\" aria-controls=\"elementor-tab-content-1156\"><a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/is-radiotherapy-an-option-for-dupuytrens-disease\/\">Is radiotherapy an option for Dupuytren&#8217;s disease?<\/a><\/li><li role=\"tab\" data-tab=\"6\" aria-controls=\"elementor-tab-content-1156\"><a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/is-conservative-treatment-possible-for-dupuytrens-disease\/\">Is conservative treatment possible?<\/a><\/li><li><a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/dupuytren-history\/\">Interesting facts about the history<\/a><\/li><li id=\"elementor-tab-title-1152\" class=\"elementor-tab-title elementor-active\" role=\"tab\" data-tab=\"2\" aria-controls=\"elementor-tab-content-1152\"><a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/occurrence-of-fibromatosis\/\">Where else can fibromatosis occur?<\/a><\/li><li role=\"tab\" data-tab=\"2\" aria-controls=\"elementor-tab-content-1152\"><a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/y-v-plastic\/\">Y-V plastic<\/a><\/li><li role=\"tab\" data-tab=\"2\" aria-controls=\"elementor-tab-content-1152\"><a href=\"https:\/\/www.yuveo.de\/en\/lexikon\/z-plastic\/\">Z-plastic<\/a><\/li><\/ul><p><strong>Informative sources:<\/strong><\/p><ul><li><a href=\"https:\/\/www.jhandsurg.org\/article\/S0363-5023(01)70031-7\/fulltext\" target=\"_blank\" rel=\"noopener\">Dupuytren&#8217;s Desease &#8211; Tubiana, Leclercq, Hurst, Badalmente, Mackin -Informa HealthCare; 1 edition &#8211; 2000<\/a><\/li><li><a href=\"https:\/\/www.aerzteblatt.de\/archiv\/36706\/Morbus-Dupuytren\" target=\"_blank\" rel=\"noopener\">Dupuytren&#8217;s disease: A surgical therapy concept &#8211; Brenner, Ghazi, Rayan, Millesi &#8211; Springer &#8211; Vienna 2003<\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-51ce6339\" data-id=\"51ce6339\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Dupuytren&#8217;s disease is initially characterized by the formation of coarse cords or nodular changes, usually on the palm of the hand. Later, an extension inhibition\/flexion contracture of the fingers can be observed. The little fingers or ring fingers are most frequently affected. However, Dupuytren&#8217;s disease also occurs in the other fingers, including the thumb, where [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":38205,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-38521","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages\/38521","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/comments?post=38521"}],"version-history":[{"count":5,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages\/38521\/revisions"}],"predecessor-version":[{"id":42505,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages\/38521\/revisions\/42505"}],"up":[{"embeddable":true,"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/pages\/38205"}],"wp:attachment":[{"href":"https:\/\/www.yuveo.de\/en\/wp-json\/wp\/v2\/media?parent=38521"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}