Our Summary
This research paper discusses the history of a hand disease known as Dupuytren’s disease, which is often referred to by different names depending on where you are in the world or who you’re talking to. Examples include the “Curse of the MacCrimmons,” “Celtic hand,” and “Viking’s disease.” Some people argue over which name is the most appropriate. One of the oldest references to this disease might be the “Hand of Benediction” - a term that may have originated from a Pope who had the disease. The paper suggests that records of Dupuytren’s disease might go back even further, before Christianity or the Vikings. There are ancient artifacts that show a hand in a similar state to those affected by the disease. These artifacts, known as the “Hand of Sabazios,” might have inspired the “Hand of Benediction” and “Hand of God” images we see in Christian art and culture.
FAQs
- What is Dupuytren’s disease also known as in different parts of the world?
- What is the possible oldest reference to Dupuytren’s disease according to the research paper?
- What are the “Hand of Sabazios” artifacts and how might they relate to Dupuytren’s disease?
Doctor’s Tip
A helpful tip a doctor might tell a patient about hand surgery is to follow post-operative instructions carefully, including keeping the hand elevated, applying ice as directed, and attending follow-up appointments for proper wound care and rehabilitation. It is important to communicate any concerns or changes in symptoms to your doctor to ensure a successful recovery.
Suitable For
Patients who are typically recommended hand surgery include those with severe cases of Dupuytren’s disease, a condition that causes the fingers to bend towards the palm and can limit movement and function of the hand. Other conditions that may warrant hand surgery include carpal tunnel syndrome, arthritis, tendon injuries, nerve injuries, fractures, and congenital deformities. Additionally, individuals with traumatic injuries to the hand or fingers may also benefit from hand surgery to restore function and alleviate pain. Hand surgery is often recommended when conservative treatments such as physical therapy, medications, and splinting have been unsuccessful in improving symptoms and function of the hand.
Timeline
Before hand surgery:
- Patient experiences symptoms of Dupuytren’s disease, such as thickening and tightening of the tissue in the palm of the hand.
- Patient may have difficulty straightening their fingers or forming a fist.
- Patient consults with a hand surgeon to determine the best course of treatment.
- Surgeon recommends hand surgery to correct the contracture and restore function to the hand.
After hand surgery:
- Patient undergoes hand surgery to release the contracted tissue in the palm of the hand.
- Patient goes through a period of post-operative recovery, including pain management and hand therapy.
- Patient gradually regains function in the hand through rehabilitation exercises and physical therapy.
- Patient experiences improved hand function and reduced symptoms of Dupuytren’s disease.
- Patient continues to follow up with their hand surgeon for monitoring and additional treatment if necessary.
What to Ask Your Doctor
- What is the specific diagnosis for my hand condition?
- What are the potential treatment options for my hand condition?
- What are the risks and benefits of each treatment option?
- What is the success rate of the recommended surgery for my hand condition?
- What is the expected recovery time after the surgery?
- What kind of physical therapy or rehabilitation will be needed post-surgery?
- Are there any alternative or non-surgical treatment options for my hand condition?
- How many surgeries of this type have you performed, and what is your success rate?
- What are the potential complications or side effects of the surgery?
- How long will I need to take off work or limit my daily activities after the surgery?
Reference
Authors: Zdilla MJ. Journal: J Hand Surg Asian Pac Vol. 2017 Sep;22(3):403-410. doi: 10.1142/S0218810417970012. PMID: 28774258