Desmogenic dermatogenous contracture is a pathological condition in which shortening of the skin and subcutaneous tissue occurs. This leads to limited joint mobility and disruption of their function.
Causes of dermatogenic desmogenic contracture:
- Burns, cicatricial changes in the skin after injuries, operations
- Long-term immobilization of the joint (plaster cast, joint contractures)
- Inflammatory diseases of the skin and subcutaneous tissue
Clinical manifestations:
- Limitation of range of motion in a joint
- Pain in the affected area
- Deformation and shortening of the limb
- Impaired function of the affected joint and limb
Diagnosis is based on medical history, examination and measurement of range of motion in the joint.
Treatment includes physiotherapeutic procedures, exercise therapy, massage, traction, and surgery. The main goal is to restore mobility in the affected joint.
The prognosis depends on the timeliness of treatment. In advanced forms, permanent limitation of movements in the joint is possible.
Contracture Dermatogenic or Desmogenic?
Contracture is a process of limited muscle contraction. A short-term reduction is observed during everyday movements and normal emotions. Prolonged contraction of muscle tissue can occur as a result of some irritants: physical injury, disease, nervous system disorder. Depending on the nature of these contractile changes, several types of contracture (muscle dysfunction) are distinguished.
Dermatogenous contractures This is caused by a violation of the elasticity of the skin (formation of scar tissue after cuts or burn wounds), muscle hypotonia, too weak muscle tone, sweating, sticking of the skin to surfaces. Such formations cause restriction of movement of the shoulder, hip, lower leg, elbow and wrist, leg, and flexion of the fingers. They are followed by muscle atrophy. Treatment is based on the regular use of massage and physiotherapy. Severe inflammation at the site of contracture is accompanied by the formation of cracks, burning, and painful sensations. When contracture is accompanied by pain, a diagnosis of “dermatogenous noma” can be made.