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Morbus Dupuytren

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Handchirurgie

Zusammenfassung

Der Morbus Dupuytren ist Teil einer systemischen Bindegewebserkrankung. Zell- und Bindegewebsproliferationen (Wucherungen) des präexistenten Bindegewebskontinuums bedingen manuelle Dysästhesien, evozieren schmerzlose Knotenbildungen der Hohlhand und verursachen im Spätstadium schließlich die auffällige, digitopalmare Beugekontraktur (◘ Abb. 34.1). Dass es sich bei der Dupuytren- Erkrankung nicht nur um ein extremitätenchirurgisches Problem handelt, bezeugen neben den ektopen Fingerknöchelpolstern auch die Induratio penis plastica (Morbus Peyronie ), der simultan auftretende, plantare Morbus Ledderhose , ebenso wie die dystope Extremform als ubiquitär vorkommende Polyfibromatose.

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Authors and Affiliations

  1. Sylter Klinik für Plastische, Rekonstruktive und Ästhetische Chirurgie, Dr. Nicolas-Straße 3, 25980, Westerland/Sylt

    Prof. Dr. med. Peter Brenner

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  1. Prof. Dr. med. Peter Brenner
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  1. Abteilung für Handchirurgie, Mikrochirurgie und Plastische Wiederherstellungschirurgie, St.-Barbara-Klinik Hamm, Heessener Wald 1, 59073, Hamm

    Hossein Towfigh

  2. Plastische, Rekonstruktive, Ästhetische und Handchirurgie Zentrum für Interdisziplinäre Rekonstruktive Chirurgie Referenzzentrum für periphere Nerven und Plexus brachialis Universitätsklinikum Essen, Universität Duisburg-Essen, Hufelandstraße 55, 45147, Essen

    Robert Hierner

  3. Klinik- und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Westfälische Wilhelms-Universität Münster, Waldeyerstraße 1, 48149, Münster

    Martin Langer

  4. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Jena, Erlanger Allee 101, 07747, Jena

    Reinhard Friedel

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Brenner, P. (2011). Morbus Dupuytren. In: Towfigh, H., Hierner, R., Langer, M., Friedel, R. (eds) Handchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11758-9_34

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