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Cure for Disabled Hands

Orthopedic Surgeons Alleviate Debilitating Disease with Injectable Enzyme

December 1, 2009

Orthopedic surgeons developed an injectable enzyme that alleviates the debilitating symptoms of Dupuytren's disease. Dupuytren's is an abnormal build-up of collagen in the fingers that hinders movement and can eventually result in curled, immobilized fingers. The enzyme, collagenase, is injected with a small insulin syringe and the following day the finger is numbed and straightened, breaking the abnormal chords that held them in a bent position.

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Science Insider

ABOUT DUPUYTREN'S CONTRACTURE: This is a hand condition that affects the dexterity of the hands and fingers. Collagen builds up in the palm of the hand. The skin thickens and fingers become less dexterous (the small and ring fingers tend to be impeded the most). This condition tends to be more immobilizing than painful and can result in bands of tough skin like calluses building up on the skin. It has been called "Viking's Disease" because of its association with Scandinavian and Northern European populations. Men are much more likely to develop the condition than women.

HOW GENES WORK: Everyone has a set of chromosomes, each containing two halves, one from each parent, and each containing a complete set of gene, so that each chromosome has two copies of every gene. The "dominant" gene is the one that is expressed, such as for brown eyes. A "recessive" gene produces a particular trait -- for instance, for blue eyes -- only if its effects are not over-ridden by those of a dominant gene. Genes are normally transmitted unchanged from one generation to the next, but sometimes a mutation occurs: the structure of the gene is changed. Genetic engineers study these mutations in hopes that it may one day be possible to correct errors in genetic coding that are responsible for specific diseases or disorders.

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A new drug for Dupuytren's

To Go Inside This Science:
Lawrence C. Hurst
Dept of Orthopaedics
Stony Brook, NY 11794-8181
Lawrence.Hurst@stonybrook.edu
631-444-3145


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