scholarly journals Predicting Complete Finger Extension In Dupuytren's Disease

Author(s):  
R. Poelstra ◽  
E.R Andrinopoulou ◽  
C.A. van Nieuwenhoven ◽  
H.P. Slijper ◽  
R. Feitz ◽  
...  
2003 ◽  
Vol 28 (1) ◽  
pp. 37-39 ◽  
Author(s):  
V. BARR ◽  
R. BHATIA ◽  
P. HAWKINS ◽  
R. SAVAGE

Contracture of the proximal interphalangeal joint after surgery to excise Dupuytren’s disease, despite release of the contributory structures within the finger, can be caused by flexor digitorum superficialis (FDS) contracture. We describe five cases where FDS contracture was released by intramuscular tenotomy in the distal forearm. Standard postoperative therapy for Dupuytren’s fasciectomy was used and clinical review showed improved finger extension with no loss of strength. We suggest that intramuscular tenotomy of FDS in the forearm can be used safely where indicated after excision of the Dupuytren’s disease.


2020 ◽  
pp. 175319342094132
Author(s):  
Robert Phan ◽  
Warren M. Rozen ◽  
Giselle Dela Cruz ◽  
Vicky Tobin ◽  
David J. Hunter-Smith

This study investigated influence of skin tears on patient-reported outcomes of injection of collagenase clostridium histolyticum for Dupuytren’s disease and association between extension deficit of digits before injection and skin tear after the injection. From 2016 to 2018, 391 Dupuytren’s cords were treated in 184 patients in a prospective cohort study and the patients were evaluated before injection and six months after injection. Skin tears occurred in 50% of these patients. We found no significant differences in the patient-reported outcomes between patients with or without skin tears. A higher extension deficit before treatment was associated with significantly increased frequency of skin tears. We conclude that the incidence of skin tears after injection does not affect patient reported outcomes six months after collagenase injection, but the incidence of skin tears is significantly associated with the severity of pre-treatment finger extension deficits. Level of evidence: II


2007 ◽  
Vol 79 (12) ◽  
Author(s):  
Jerzy Jabłecki ◽  
Leszek Kaczmarzyk ◽  
Adam Domanasiewicz ◽  
Janusz Kaczmarzyk

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