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В результате разрастания соединительной ткани сухожилия укорачиваются, формируется сгибательная контрактура пальцев, что приводит к частичной потере функции кисти [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/). \n\nЧаще всего поражает безымянный палец и мизинец, хотя может распространяться на другие пальцы [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/).\n\n\n\n## Причины\nТочные причины контрактуры Дюпюитрена до конца не установлены [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/). Выделяют несколько предполагаемых факторов риска [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/): \n* наследственная предрасположенность и врождённые особенности строения кисти [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/); \n* травмы и повреждения кисти, включая свежие и застарелые [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/); \n* эндокринные нарушения, включая сахарный диабет [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/); \n* возрастные изменения тканей ладони и снижение эластичности соединительной ткани [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/); \n* некоторые системные заболевания и сосудистые нарушения [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/).\n\n## Симптомы\nЗаболевание развивается постепенно, часто безболезненно [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/). Некоторые признаки: \n* появление уплотнения на ладонной поверхности кисти, чаще около пястно-фаланговых суставов безымянного пальца и мизинца [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/); \n* формирование тяжей, отходящих от узелка к основной и средней фаланге пальца [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/); \n* ограничение разгибания пальцев, сгибательная контрактура [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/); \n* уплотнение и спаивание кожи с окружающими тканями, образование втяжений и складок на ладони [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/); \n* редко — слабые болевые ощущения или дискомфорт (примерно у 10% пациентов) [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/).\n\n## Диагностика\nДиагноз ставит ортопед или хирург на основании визуального осмотра и пальпации ладони, определения расположения узлов и тяжей, оценки угла сгибательной контрактуры и амплитуды движений пальцев [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/). Дополнительные исследования обычно не требуются, за исключением сомнительных случаев [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/).\n\n## Лечение\nЛечение зависит от стадии заболевания и выраженности контрактуры [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/): \n* **Консервативная терапия на ранних стадиях**: физиотерапевтические процедуры, лечебная гимнастика для растяжения апоневроза, ношение съёмных лонгет для фиксации пальцев в разогнутом положении [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/). \n* **Хирургическое вмешательство** при контрактуре 30° и более: иссечение рубцовой ткани, восстановление подвижности суставов [3](https://cmrt.ru/zabolevaniya/myagkikh-tkaney/kontraktura-dyupyuitrena/). 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