{"id":627,"date":"2023-06-09T04:02:26","date_gmt":"2023-06-09T04:02:26","guid":{"rendered":"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/"},"modified":"2026-01-26T21:48:18","modified_gmt":"2026-01-26T21:48:18","slug":"dupuytrens-contracture","status":"publish","type":"page","link":"https:\/\/hand-surgerymontreal.com\/fr\/dupuytrens-contracture\/","title":{"rendered":"Contracture de Dupuytren"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb background_color=\u00a0\u00bb#88C4DD\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-5f7becaa-db42-4a27-923f-406088f8cb05%22:%91%22link_color%22%93}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text module_class=\u00a0\u00bbhero-sec-heading\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_text_color=\u00a0\u00bb#000000&Prime; header_font_size=\u00a0\u00bb40px\u00a0\u00bb custom_margin=\u00a0\u00bb||0px||false|false\u00a0\u00bb header_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_text_align_phone=\u00a0\u00bbcenter\u00a0\u00bb header_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_font_size_tablet=\u00a0\u00bb40px\u00a0\u00bb header_font_size_phone=\u00a0\u00bb34px\u00a0\u00bb header_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1>Contracture de Dupuytren<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb2_3,1_3&Prime; _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb2_3&Prime; module_class=\u00a0\u00bbservice-detail\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text module_class=\u00a0\u00bbservice-txt\u00a0\u00bb _builder_version=\u00a0\u00bb4.23&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_orientation_tablet=\u00a0\u00bb\u00a0\u00bb text_orientation_phone=\u00a0\u00bbleft\u00a0\u00bb text_orientation_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>La contracture de Dupuytren est une affection de la paume de la main et des doigts. Dans la main normale, il existe un tissu fibreux appel\u00e9 fascia. Le fascia recouvre les nerfs importants, les vaisseaux sanguins, les muscles et les tendons. Le fascia stabilise \u00e9galement la peau. Dans la maladie de Dupuytren, ce fascia peut devenir anormal. Il devient plus \u00e9pais et forme des cordons. Ces cordes sont souvent confondues avec un tendon car elles ont un aspect et une sensation similaires. Contrairement \u00e0 un tendon qui est m\u00fb par un muscle qui se raccourcit et s&rsquo;allonge, le tissu cord\u00e9 n&rsquo;est pas reli\u00e9 \u00e0 un muscle. Le tissu cordal est statique et ne bouge pas. Il peut y avoir un seul ou plusieurs cordons. Les cordes peuvent \u00eatre s\u00e9par\u00e9es ou connect\u00e9es.<\/p>\n<p>La plupart des personnes atteintes de la contracture de Dupuytren pr\u00e9sentent \u00e9galement des nodules ou des bosses dans la main. Lorsqu&rsquo;ils sont remarqu\u00e9s pour la premi\u00e8re fois, ces nodules et cordons peuvent rester longtemps inchang\u00e9s. Ils peuvent \u00e9galement \u00e9voluer lentement ou rapidement. Les cordons et les nodules peuvent devenir plus gros et plus \u00e9pais avec le temps. Ils peuvent commencer \u00e0 tirer les doigts dans une position pli\u00e9e (fl\u00e9chie), de sorte que les doigts sont pli\u00e9s vers la paume.<\/p>\n<p><iframe loading=\"lazy\" title=\"Maladie de Dupuytren\" width=\"1080\" height=\"608\" src=\"https:\/\/www.youtube.com\/embed\/aBY2bHqVrho?feature=oembed\"  allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbFrequently Asked Questions\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_2_font_size=\u00a0\u00bb52px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px||false|false\u00a0\u00bb header_2_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_2_text_align_phone=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_font_size_tablet=\u00a0\u00bb48px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb38px\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|tablet\u00a0\u00bb header_2_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_2_line_height_phone=\u00a0\u00bb1.3em\u00a0\u00bb header_2_line_height_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>Causes<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=\u00a0\u00bbgcid-7e931e37-848e-4c83-9952-34e281031f2b\u00a0\u00bb divider_weight=\u00a0\u00bb2px\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100px\u00a0\u00bb module_alignment=\u00a0\u00bbleft\u00a0\u00bb custom_margin=\u00a0\u00bb||15px||false|false\u00a0\u00bb module_alignment_tablet=\u00a0\u00bbleft\u00a0\u00bb module_alignment_phone=\u00a0\u00bbcenter\u00a0\u00bb module_alignment_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-7e931e37-848e-4c83-9952-34e281031f2b%22:%91%22color%22%93}\u00a0\u00bb][\/et_pb_divider][et_pb_text module_class=\u00a0\u00bbservice-txt\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_orientation_tablet=\u00a0\u00bb\u00a0\u00bb text_orientation_phone=\u00a0\u00bbleft\u00a0\u00bb text_orientation_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>La cause exacte de la contracture de Dupuytren est inconnue et tr\u00e8s complexe. Il s&rsquo;agit d&rsquo;une maladie h\u00e9r\u00e9ditaire. Cela signifie que les ant\u00e9c\u00e9dents familiaux et l&rsquo;ascendance jouent un r\u00f4le. Le probl\u00e8me est plus fr\u00e9quent chez les hommes, les personnes \u00e2g\u00e9es de plus de 40 ans et les personnes d&rsquo;origine nord-europ\u00e9enne. Il est moins fr\u00e9quent chez les personnes d&rsquo;origine africaine et du Moyen-Orient. Le tabagisme, le diab\u00e8te, l&rsquo;alcool, un indice de masse corporelle inf\u00e9rieur et le vieillissement sont \u00e9galement li\u00e9s \u00e0 la maladie de Dupuytren.<\/p>\n<p>Il n&rsquo;existe aucune preuve que les blessures aux mains ou des emplois sp\u00e9cifiques entra\u00eenent un risque plus \u00e9lev\u00e9 de d\u00e9velopper une contracture de Dupuytren. Il peut y avoir une l\u00e9g\u00e8re relation avec un traumatisme chez une personne \u00e0 risque. Parfois, apr\u00e8s une fracture du radius distal (poignet), un patient peut d\u00e9velopper un nodule unique dans la paume. Ce nodule peut \u00eatre sensible ou non. Souvent, il n&rsquo;\u00e9volue pas vers une d\u00e9formation de l&rsquo;articulation du doigt.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbFrequently Asked Questions\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_2_font_size=\u00a0\u00bb52px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px||false|false\u00a0\u00bb header_2_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_2_text_align_phone=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_font_size_tablet=\u00a0\u00bb48px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb38px\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_2_line_height_phone=\u00a0\u00bb1.3em\u00a0\u00bb header_2_line_height_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>Signes et sympt\u00f4mes<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=\u00a0\u00bbgcid-7e931e37-848e-4c83-9952-34e281031f2b\u00a0\u00bb divider_weight=\u00a0\u00bb2px\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100px\u00a0\u00bb module_alignment=\u00a0\u00bbleft\u00a0\u00bb custom_margin=\u00a0\u00bb||15px||false|false\u00a0\u00bb module_alignment_tablet=\u00a0\u00bbleft\u00a0\u00bb module_alignment_phone=\u00a0\u00bbcenter\u00a0\u00bb module_alignment_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-7e931e37-848e-4c83-9952-34e281031f2b%22:%91%22color%22%93}\u00a0\u00bb][\/et_pb_divider][et_pb_text module_class=\u00a0\u00bbservice-txt\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb text_orientation_tablet=\u00a0\u00bb\u00a0\u00bb text_orientation_phone=\u00a0\u00bbleft\u00a0\u00bb text_orientation_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<ul>\n<li>L&rsquo;\u00e9paississement et la contracture se d\u00e9veloppent g\u00e9n\u00e9ralement lentement. Certaines personnes d\u00e9veloppent des nodules dans la paume qui peuvent \u00eatre douloureux, bien que cela soit rare. Les nodules peuvent se transformer en bandes plus importantes (cordes) qui peuvent parfois \u00eatre confondues avec des tendons contract\u00e9s. Ces bandes tirent progressivement les doigts vers la paume. L&rsquo;annulaire et l&rsquo;auriculaire sont les plus souvent touch\u00e9s et peuvent se plier jusqu&rsquo;\u00e0 toucher la paume dans les cas les plus graves. Sur le plan fonctionnel, les patients peuvent \u00e9prouver des difficult\u00e9s \u00e0 mettre leurs mains dans les poches, \u00e0 se piquer les yeux lorsqu&rsquo;ils se lavent le visage.<\/li>\n<li>Les patients sont incapables de poser la main \u00e0 plat sur une table (test de la table).<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-449 alignnone \" src=\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Dupuytrens-nodule-300x212.png\" alt=\"\" width=\"483\" height=\"341\" srcset=\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Dupuytrens-nodule-300x212.png 300w, https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Dupuytrens-nodule.png 303w\" sizes=\"(max-width: 483px) 100vw, 483px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-514 alignnone \" src=\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Capture-2-300x228.png\" alt=\"\" width=\"453\" height=\"344\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbFrequently Asked Questions\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_2_font_size=\u00a0\u00bb52px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px||false|false\u00a0\u00bb header_2_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_2_text_align_phone=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_font_size_tablet=\u00a0\u00bb48px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb38px\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_2_line_height_phone=\u00a0\u00bb1.3em\u00a0\u00bb header_2_line_height_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>Traitement non chirurgical<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=\u00a0\u00bbgcid-7e931e37-848e-4c83-9952-34e281031f2b\u00a0\u00bb divider_weight=\u00a0\u00bb2px\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100px\u00a0\u00bb module_alignment=\u00a0\u00bbleft\u00a0\u00bb custom_margin=\u00a0\u00bb||15px||false|false\u00a0\u00bb module_alignment_tablet=\u00a0\u00bbleft\u00a0\u00bb module_alignment_phone=\u00a0\u00bbcenter\u00a0\u00bb module_alignment_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-7e931e37-848e-4c83-9952-34e281031f2b%22:%91%22color%22%93}\u00a0\u00bb][\/et_pb_divider][et_pb_blurb icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb module_class=\u00a0\u00bbblurb&#8211;icon-box\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb|0px||||\u00a0\u00bb custom_padding=\u00a0\u00bb|0px||||\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Dans les premiers stades, les masses douloureuses peuvent \u00eatre inject\u00e9es avec une solution de st\u00e9ro\u00efdes. L&rsquo;effet est variable, mais le risque est g\u00e9n\u00e9ralement faible.<\/p>\n<p>[\/et_pb_blurb][et_pb_text admin_label=\u00a0\u00bbFrequently Asked Questions\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_2_font_size=\u00a0\u00bb52px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px||false|false\u00a0\u00bb header_2_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_2_text_align_phone=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_font_size_tablet=\u00a0\u00bb48px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb38px\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_2_line_height_phone=\u00a0\u00bb1.3em\u00a0\u00bb header_2_line_height_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>Proc\u00e9dures chirurgicales<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=\u00a0\u00bbgcid-7e931e37-848e-4c83-9952-34e281031f2b\u00a0\u00bb divider_weight=\u00a0\u00bb2px\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100px\u00a0\u00bb module_alignment=\u00a0\u00bbleft\u00a0\u00bb custom_margin=\u00a0\u00bb||15px||false|false\u00a0\u00bb module_alignment_tablet=\u00a0\u00bbleft\u00a0\u00bb module_alignment_phone=\u00a0\u00bbcenter\u00a0\u00bb module_alignment_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{%22gcid-7e931e37-848e-4c83-9952-34e281031f2b%22:%91%22color%22%93}\u00a0\u00bb][\/et_pb_divider][et_pb_video src=\u00a0\u00bbhttps:\/\/www.youtube.com\/watch?v=GGaOuQ4gGYw\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_video][et_pb_blurb icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb module_class=\u00a0\u00bbblurb&#8211;icon-box\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_margin=\u00a0\u00bb|0px||||\u00a0\u00bb custom_padding=\u00a0\u00bb5px|0px||||\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><em><strong>Le but de l&rsquo;op\u00e9ration est de redresser autant que possible les doigts d\u00e9form\u00e9s.<\/strong><\/em><\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbFasciotomie percutan\u00e9e \u00e0 l&rsquo;aiguille\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x5a;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb module_class=\u00a0\u00bbblurb&#8211;icon-box\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>La technique pr\u00e9f\u00e9r\u00e9e du Dr Zadeh est la <strong>fasciotomie percutan\u00e9e \u00e0 l&rsquo;aiguille<\/strong>, une technique utilis\u00e9e pour lib\u00e9rer et diviser le cordon \u00e9paissi. Cette proc\u00e9dure n&rsquo;implique :<\/p>\n<ul>\n<li>AUCUNE incision<\/li>\n<li>PAS de sutures<\/li>\n<li>Une convalescence de courte dur\u00e9e<\/li>\n<\/ul>\n<p><strong>Frais de chirurgie : <\/strong><\/p>\n<p>Premier doigt: 5,500 $<\/p>\n<p>Deuxi\u00e8me doigt: 4,000 $<\/p>\n<p>Troisi\u00e8me doigt: 3,000 $<\/p>\n<p><iframe loading=\"lazy\" title=\"Lib\u00e9ration percutan\u00e9e ou \u00e0 l&#039;aiguille du doigt \u00e0 g\u00e2chette\" width=\"1080\" height=\"608\" src=\"https:\/\/www.youtube.com\/embed\/Rktk3HDyVR0?feature=oembed\"  allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p>[\/et_pb_blurb][et_pb_blurb title=\u00a0\u00bbFasciectomie Traditionnelle\u00a0\u00bb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x5a;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb module_class=\u00a0\u00bbblurb&#8211;icon-box\u00a0\u00bb _builder_version=\u00a0\u00bb4.27.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Le Dr Zadeh peut vous recommander de subir une <strong>fasciectomie traditionnelle<\/strong> afin d&rsquo;enlever la plus grande partie possible du cordon \u00e9paissi. Cette proc\u00e9dure implique :<\/p>\n<ul>\n<li>De longues incisions<\/li>\n<li>Des sutures<\/li>\n<li>Une longue convalescence (6 semaines)<\/li>\n<\/ul>\n<p><strong><\/strong><\/p>\n<p><strong>Frais de chirurgie : \u00a0<\/strong><\/p>\n<p>$7,500-11,000<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_blurb][et_pb_text admin_label=\u00a0\u00bbFrequently Asked Questions\u00a0\u00bb _builder_version=\u00a0\u00bb4.23&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_2_font_size=\u00a0\u00bb52px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px||false|false\u00a0\u00bb header_2_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_2_text_align_phone=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_font_size_tablet=\u00a0\u00bb48px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb38px\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_2_line_height_phone=\u00a0\u00bb1.3em\u00a0\u00bb header_2_line_height_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>Consignes post-op\u00e9ratoires<\/h2>\n<p><em><strong>Fasciotomie percutan\u00e9e<\/strong> :<\/em> Dans la majorit\u00e9 des cas, les patients peuvent imm\u00e9diatement utiliser et mouiller leurs mains.<\/p>\n<ul>\n<li><a href=\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/09\/Fasciotomie-percutanee.pdf\" rel=\"attachment wp-att-5799\">Fasciotomie percutan\u00e9e<\/a><\/li>\n<\/ul>\n<p><strong><em>Fasciectomie traditionnelle<\/em> <\/strong>: Il est conseill\u00e9 aux patients de porter le bandage jusqu&rsquo;\u00e0 ce que les sutures soient retir\u00e9es, soit 14 jours apr\u00e8s l&rsquo;op\u00e9ration. Ils ne sont pas autoris\u00e9s \u00e0 se mouiller les mains jusqu&rsquo;\u00e0 ce moment-l\u00e0. L&rsquo;utilisation de la main est limit\u00e9e pendant 4 \u00e0 6 semaines.<\/p>\n<ul>\n<li><a href=\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/09\/Fasciectomie-de-Dupuytrens.pdf\" rel=\"attachment wp-att-5797\">Fasciectomie de Dupuytren&rsquo;s<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbFrequently Asked Questions\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb header_2_font_size=\u00a0\u00bb52px\u00a0\u00bb custom_margin=\u00a0\u00bb||10px||false|false\u00a0\u00bb header_2_text_align_tablet=\u00a0\u00bb\u00a0\u00bb header_2_text_align_phone=\u00a0\u00bbcenter\u00a0\u00bb header_2_text_align_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_font_size_tablet=\u00a0\u00bb48px\u00a0\u00bb header_2_font_size_phone=\u00a0\u00bb38px\u00a0\u00bb header_2_font_size_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb header_2_line_height_tablet=\u00a0\u00bb\u00a0\u00bb header_2_line_height_phone=\u00a0\u00bb1.3em\u00a0\u00bb header_2_line_height_last_edited=\u00a0\u00bbon|phone\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h2>Risques et complications<\/h2>\n<p>[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#x5a;||divi||400&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb content_max_width=\u00a0\u00bb100%\u00a0\u00bb module_class=\u00a0\u00bbblurb&#8211;icon-box\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>Comme pour toute intervention chirurgicale, il existe des risques potentiels. La d\u00e9cision de proc\u00e9der \u00e0 l&rsquo;op\u00e9ration est prise parce que les avantages de l&rsquo;op\u00e9ration l&#8217;emportent sur les inconv\u00e9nients potentiels. Le Dr Zadeh vous informe de ces risques avant l&rsquo;intervention.<\/p>\n<p>La majorit\u00e9 des patients ne souffrent d&rsquo;aucune complication, en particulier apr\u00e8s une fasciotomie percutan\u00e9e (technique de l&rsquo;aiguille) ; cependant, les complications sont plus fr\u00e9quentes lors d&rsquo;une fasciectomie traditionnelle :<\/p>\n<ul>\n<li>Infection<\/li>\n<li>L\u00e9sion nerveuse, art\u00e9rielle<\/li>\n<li>L\u00e9sion du tendon<\/li>\n<li>Raideur du doigt<\/li>\n<li>Cicatrice sensible<\/li>\n<li>Possibilit\u00e9 de r\u00e9apparition de la contracture<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Les facteurs de risque qui peuvent nuire \u00e0 une bonne cicatrisation apr\u00e8s une intervention chirurgicale sont les suivants :<\/p>\n<ul>\n<li>Mauvaise alimentation<\/li>\n<li>Le tabagisme<\/li>\n<li>L&rsquo;alcoolisme<\/li>\n<li>Maladie chronique<\/li>\n<li>Utilisation de st\u00e9ro\u00efdes<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_blurb][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.17.4&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_sidebar module_class=\u00a0\u00bbour-sidebar\u00a0\u00bb _builder_version=\u00a0\u00bb4.21.0&Prime; _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb0px|0px|0px|0px|true|true\u00a0\u00bb border_color_all=\u00a0\u00bbRGBA(255,255,255,0)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Contracture de DupuytrenLa contracture de Dupuytren est une affection de la paume de la main et des doigts. Dans la main normale, il existe un tissu fibreux appel\u00e9 fascia. Le fascia recouvre les nerfs importants, les vaisseaux sanguins, les muscles et les tendons. Le fascia stabilise \u00e9galement la peau. Dans la maladie de Dupuytren, ce [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-627","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Contracture de Dupuytren - Hand Surgery Montreal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contracture de Dupuytren - Hand Surgery Montreal\" \/>\n<meta property=\"og:description\" content=\"Contracture de DupuytrenLa contracture de Dupuytren est une affection de la paume de la main et des doigts. Dans la main normale, il existe un tissu fibreux appel\u00e9 fascia. Le fascia recouvre les nerfs importants, les vaisseaux sanguins, les muscles et les tendons. Le fascia stabilise \u00e9galement la peau. Dans la maladie de Dupuytren, ce [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/\" \/>\n<meta property=\"og:site_name\" content=\"Hand Surgery Montreal\" \/>\n<meta property=\"article:modified_time\" content=\"2026-01-26T21:48:18+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Dupuytrens-nodule-300x212.png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/\",\"url\":\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/\",\"name\":\"Contracture de Dupuytren - Hand Surgery Montreal\",\"isPartOf\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Dupuytrens-nodule-300x212.png\",\"datePublished\":\"2023-06-09T04:02:26+00:00\",\"dateModified\":\"2026-01-26T21:48:18+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/#primaryimage\",\"url\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Dupuytrens-nodule-300x212.png\",\"contentUrl\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Dupuytrens-nodule-300x212.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/hand-surgerymontreal.com\/fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Contracture de Dupuytren\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/#website\",\"url\":\"https:\/\/hand-surgerymontreal.com\/\",\"name\":\"Hand Surgery Montreal\",\"description\":\"Montreal Hand Surgeon\",\"publisher\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/hand-surgerymontreal.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/#organization\",\"name\":\"Hand Surgery Montreal\",\"url\":\"https:\/\/hand-surgerymontreal.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Hand-Logo-2.png\",\"contentUrl\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Hand-Logo-2.png\",\"width\":424,\"height\":116,\"caption\":\"Hand Surgery Montreal\"},\"image\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Contracture de Dupuytren - Hand Surgery Montreal","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/hand-surgerymontreal.com\/dupuytrens-contracture\/","og_locale":"fr_FR","og_type":"article","og_title":"Contracture de Dupuytren - Hand Surgery Montreal","og_description":"Contracture de DupuytrenLa contracture de Dupuytren est une affection de la paume de la main et des doigts. 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