Ellis Cooper

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Ellis Cooper
Dr.
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Shreveport
Orthopedic Surgery
Orthopedic Specialists of Louisiana
1500 Line Ave. 1st Floor
Shreveport
LA
71101

My doctor says I have Dupuytren’s disease in my hand.  It does not hurt, but my little finger is getting in the way of shaking hands.  What can I do? 

Dupuytren’s Disease or Dupuytren’s Contracture is a condition which is inherited.  It is most often seen in older males of northern European or Scandanavian Ancestry.  President Reagan was treated for this condition. It begins as a small, tender nodule in the palm of the hand.  This can be associated with a small dimple in the palmer skin.  The nodule or lump then becomes a band of tissue which causes the finger, most often the little or ring, to bend into the palm.  If treated early, the surgical release is relatively simple.  In extreme cases that have been present for long periods of time more aggressive procedures may be required.

 

My husband has a scaphoid fracture of his wrist.  He will be casted for 12 weeks. He works construction and we will lose a lot of money.  Is 12 weeks of casting really necessary?

 

Scaphoid fractures can be very troublesome and are often not diagnosed initially. They are usually caused by falling onto an outstretched hand. Persistent tenderness and pain in the wrist should be evaluated with an x-ray which can reveal the fracture. Non displaced fractures can be treated non operatively with 8-12 weeks of casting.  Alternatively, these can be fixed with a small screw placed through a stab incision in the skin.  This allows use of a splint and light duty within a day and can cut the healing time almost in half.  Most patients are back to full duty around 6 weeks. Patients with displaced fractures require more invasive surgery with longer immobilization and healing times.

 

Ellis Cooper
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Ellis Cooper
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