Dupuytren's contracture- Adult Leeds

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1.  Information Resources for Patients and Carers

Quick info:

Patient information

Please see attached patient information leaflet on Basal Thumb Osteoarthritis.

Please see attached patient information leaflet on Dupuytren's disease.

Please see attached patient information leaflet on Trigger Finger.

Please see the attached patient information leaflet on De Quervain's Tenosynovitis.

Please see attached patient information leaflet on  ganglion cysts.

Please see the attached patient information leaflet on Carpal Tunnel Syndrome.

Decision Aid for Carpal Tunnel

Preoperative Information

Please see attached patient information leaflet for preoperative information on Basal Thumb Osteoarthritis.

Please see attached patient information leaflet for preoperative information on Dupuytren's disease.

Please see attached patient information leaflet for preoperative information on Trigger Finger.

Please see the attached patient information leaflet for preoperative information on De Quervain's Tenosynovitis.

Please see attached patient information leaflet for preoperative information on ganglion cysts.

Please see attached patient information leaflet for preoperative information on Carpal Tunnel Syndrome.

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2.  Referral Forms

Quick info:
Referral Forms

Mail Merged
The forms below are provided as a repository. They can be downloaded to your computer and be imported to your clinical system. This is so all practices have access to the most up to date forms.

EMIS - merged
MSK12 Non Surgical Hand-Wrist Form V3
MSK13 Surgical Hand-Wrist V3
MSK14 Problem Not on Pathway Form V3

SystmOne - merged
MSK12 Non Surgical Hand-Wrist Form V3
MSK13 Surgical Hand-Wrist V3
MSK14 Problem Not on Pathway Form V3

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3.  Dupuytren's Contracture

Quick info:
Patient information
Please see attached patient information leaflet on Dupuytren's disease.

GP information
This condition, caused by progressive shortening and thickening of the palmar fascia, presents with a varying degree of flexion deformity of the fingers and possibly disturbance of hand function.

Risk factors include:

  • smoking
  • alcohol excess
  • diabetes
  • hypercholesterolaemia

During assessment it is critical to assess the following factors:

  • is tenderness present?
    • if so, it is important to exclude other conditions such as infection, but before proceeding with the pathway, tenderness must have settled, so a period of observation is indicated
  • can the patient put the hand flat on the table top?
    • if the answer is no, then assess whether the patient is willing and likely to benefit from surgery. If yes to both, then refer to a hand surgeon
  • is this a ‘high demand hand’?
    • if the patient is able to put the hand flat to the table but has an outstanding reason why surgery may be indicated due to a unique personal requirement for exceptional hand function, eg occupation, then referral to a hand surgeon is indicated

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13. Is this a high demand hand?

Quick info:
GP information
Situations either through occupation or hobby where mild to moderate degrees of flexion cause problems, eg concert pianist.

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14. Yes - Refer Hand Surgeon Referral Form (MSK13)

Quick info:
Referral Forms
MSK13 Surgical Hand-Wrist V3

Patient information
Please see attached patient information leaflet on Dupuytren's disease.

Choose & Book

All providers except LTHT appear under;

Speciality: Orthopaedics
Clinic type:Hand & Wrist

LTHT appears under;

Speciality:Surgery - Plastics
Clinic:Upper Limb
Service:Adult Upper Limb - Surgery Plastics

Provider information
Common providers of this procedure to Leeds patients include:

  • LTHT
  • Spire -  please note, exclusions apply
  • Yorkshire Clinic -  please note, exclusions apply
  • BRI
  • Harrogate
  • Mid Yorks
  • Calderdale Royal Infirmary
  • Eccleshill   please note, exclusions apply

Where exclusions apply, common exclusions include:

  • anaesthetic risk
  • previous anaesthetic complication
  • significant co-morbidity
  • severe psychiatric morbidity

Please see Choose & Book Directory of service for additional information.

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17.Yes - Refer Hand Surgeon Referral Form (MSK13)

Quick info:
Referral Forms
MSK13 Surgical Hand-Wrist V3

Patient information
Please see attached patient information leaflet on Dupuytren's disease.

Choose & Book

All providers except LTHT appear under;

Speciality: Orthopaedics
Clinic type:Hand & Wrist

LTHT appears under;

Speciality: Surgery - Plastics
Clinic: Upper Limb
Service: Adult Upper Limb - Surgery Plastics

Provider information
Common providers of this procedure to Leeds patients include:

  • LTHT
  • Spire -  please note, exclusions apply
  • Yorkshire Clinic -  please note, exclusions apply
  • BRI
  • Harrogate
  • Mid Yorks
  • Calderdale Royal Infirmary
  • Eccleshill   please note, exclusions apply

Where exclusions apply, common exclusions include:

  • anaesthetic risk
  • previous anaesthetic complication
  • significant co-morbidity
  • severe psychiatric morbidity

Please see Choose & Book Directory of service for additional information.

Key Dates
Published: 16-Dec-2015, by Leeds
Valid until: 19-Feb-2016

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Leeds Health Pathways