Dupuytren’s contracture: A demographic, retrospective analysis

Alper ÇIRAKLI, Ahmet PİŞKİN, Murat ERDOĞAN, Ali VARLI, Serdar ULUSOY
1.776 686

Abstract


Dupuytren’s contracture is a pathological contracture of the palmar fascia which results in flexion deformity in the fingers, causing restricted movement. It is most frequently seen in elderly males, most commonly in the 4th and 5th fingers. Although the etiology of the disease is not fully known, various factors are held responsible. As there is fascia involvement, it may be seen in different areas of the body. Treatment includes conservative and surgical methods. It is important that the surgical site includes neighboring nerves and blood vessels. This study comprised 23 cases treated with partial fascietomy for Dupuytren’s contracture at our clinic between January 2005 and January 2013. All the patients passed through the postoperative period without any problems. We recommend making a partial fasciectomy to include excision of only the diseased fascia to reduce the risk related with nerves and vessels. This can also be considered to have great importance in the postoperative rehabilitation, the success of the treatment and the prevention of recurrence.

Keywords


Contracture; dupuytren disease; hand; partial fasciectomy; surgical treatment

Full Text:

233-236


DOI: http://dx.doi.org/10.5835/jecm.omu.30.03.005

References


Arafa, M., Noble, J., Royle, S.G., Trail, I.A., Allen, J., 1992. Dupuytren’s and epilepsy revisited. J. Hand Surg. Br. 17, 221-224.

Arkkila, P.E., Koskinen, P.J., Kantola, I.M., Rönnemaa, T., Seppänen, E., Viikari, J.S., 2000. Dupuytren’s disease in type I diabetic subjects: Investigation of biochemical markers of type III and I collagen. Clin. Exp. Rheumatol. 18, 215-219.

Balcı, N., Tüzüner, S., Balcı, M.K., 1999. Hand and upper extremity pathologies in diabetes mellitus. T Klin J Med Sci 1999, 19, 18-24.

Bulstrode, N.W., Jemec, B., Smith, P.J., 2005. The complications of Dupuytren’ s contracture surgery. J. Hand Surg. Am. 30, 1021-1025.

Boyer, M.I., Gelberman, R.H., 1999. Complications of the operative treatment of Dupuytren’ s disease. Hand Clin. 15, 161-166.

Chammas, M., Bousquet, P., Renard, E., Poirier, J.L., Jaffiol, C., Allieu, Y., 1995. Dupuytren’ s disease, carpal tunnel syndrome, trigger finger, and diabetes mellitus. J. Hand Surg. Am. 20, 109-114.

Denkler, K., 2005. Dupuytren’ s fasciectomies in 60 consecutive digits using lidocaine with epinephrine and no tourniquet. Plast. Reconstr. Surg. 115, 802-810.

Dominguez-Malagon, H.R., Alfeiran-Ruiz, A., Chavarria-Xicotencatl, P., Duran-Hernandez, M.S., 1992. Clinical and cellular effects of colchicinein fibromatosis. Cancer. 69, 2478-2483.

Hall, P.N., Fitzgerald, A., Sterne, G.D., Logan, A.M., 1997. Skin replacement in Dupuytren’ s disease. J. Hand Surg. Br. 22, 193-197.

Howard, L.D., 1959. Dupuytren’ s contracture: A guide for management. Clin. Orthop. 15, 118-126.

Koçer, U., Yazıcı, A., Arifoğlu, K., Şensöz, Ö., 1993. Dupuytren Kontraktüründe tedavi yaklaşımlarımız. Turkiye Klinikleri J Med Sci. 13, 4284

Luck, J.V., 1959. Dupuytren’s contracture; a new concept of the pathogenesis correlated with surgical management. J. Bone Joint Surg. Am. 41, 635-6

Marcuzzi, A., Ruggiero, L., Chirila, L., Gilardi, R., Landi, A., 2009. Dupuytren’ s disease of the radial side of the hand. Eur. J. Plast. Surg. 32, 275-2

McFarlane, R.M., 1982. Dupuytren’ s contracture. In: Green D.P. Operative hand surgery. 1 st ed.London: Churchill Livingstone. pp. 563-593. McGrouther, D.A., 1999. Dupuytren’ s contracture. In: Green D.P, Hotchkiss R.N, Pederson W.C. Operative hand surgery. 4 th ed. New York, NY: Churchill Livingstone, pp. 563-591.

Moermans, J.P., 1991. Segmental aponeurectomy in Dupuytren’s disease. J. Hand Surg. Br. 16, 243-254.

Neumüller, J., Menzel, J., Millesi, H., 1994. Prevalence of HLA-DR3 and auto antibodies to connective tissue components in Dupuytren’ s contracture. Clin. Immunol. Immunopathol. 71, 142-148.

Özkaya, Ö., Yeşilada, A.K., Karşıdağ, S., Soydan, A.T., Uğurlu, K., Baş, L., 2010. Dupuytren Kontraktürü: Etiyoloji, tanı ve cerrahi tedavisi, on yıllık retrospektif analiz. 30, 553-558.

Rayan, G.M., 1999. Clinical presentation and types of Dupuytren’ s disease. Hand Clin. 15, 87-96.

Saar, J.D., Grothaus, P.C., 2000. Dupuytren’ s Disease: An overview. Plast. Reconstr. Surg. 106, 125-134.

Spring. M., Fleck, H., Cohen, B.D., 1970. Dupuytren’ s contracture. Warning of diabetes? NY State J. Med. 70, 1037-1041.

Swartz, W.M., Lalonde, D.H., 2008. Dupuytren’ s Disease. Plast. Reconst. Surg. 121, 1-10.

Tonkin, M.A., Burke, F.D., Varian, J.P., 1985. The proximal interphalangeal joint in Dupuytren’ s disease. J. Hand Surg. Br. 10, 358-364.

Trojian, T.H., Chu, S.M., 2007. Dupuytren’ s disease: Diagnosis and treatment. Am. Fam. Physician. 76, 86-89.

Yenidünya, M.O., Bavli, S., Karakaş, A.Ö., 2010. Guillauma Dupuytren’ den 178 Yıl Sonra Dupuytren Hastalığı: 18 olgu eşliğinde literatürün gözden geçirilmesi. Yeni Tıp Dergisi. 27, 221-226.

Zachariae, L., 1971. Dupuytren’ s contracture. The aetiological role of trauma. Scand. J. Plast. Reconstr. Surg. 5, 116-119.