TIHI NEPRIJATELJ IZ ŠAKE - VIKINŠKA BOLEST
Sažetak
Dipitrenova kontraktura (DK) je progresivna idiopatska fibroza površinske palmarne fascije uzrokovana promenama u palmarnoj aponeurozi, koje rezultiraju fleksijskom kontrakturom prstiju ruke sa nemogućnošću ispružanja prstiju. Bolest poznata još iz doba Vikinga prisutna je u 8% svetske populacije, češća kod muškaraca a u njenoj etiologiji bitnu ulogu igra nasleđe koje pokazuje varijabilnu ekspresiju. Patogeneza DK još uvek je nerazjašnjena, a uključuje nastanak kolagenih čvorića koji progrediraju u fibrozne trake na mestima najvećeg pritiska između dermisa i fascije. Dijagnoza se postavlja samo kliničkim pregledom, a lečenje može biti konzervativno i hirurško. Konzervativno lečenje rezervisavo je za pacijente sa simptomima blažeg stepena i bez kontrakture prstiju, dok je hirurško lečenje zlatni standard u terapiji osoba kod kojih nastala kontraktura limitira funkcija šake i/ili fleksiju proksimalnog interfalangealnog zgloba za ≥15º i/ili metakarpofalangealnog zgloba za ≥30º. Cilj ovog rada je prikazati aktuelna saznanja vezana za DK.
Reference
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