Dupuytren’s Disease Following Acute Injury in Japanese Patients: Dupuytren’s Disease or Not?

2007 ◽  
Vol 32 (5) ◽  
pp. 569-572 ◽  
Author(s):  
Y. ABE ◽  
T. ROKKAKU ◽  
T. EBATA ◽  
S. TOKUNAGA ◽  
T. YAMADA
Keyword(s):  
Diabetes Mellitus ◽  
Elective Surgery ◽  
Middle Finger ◽  
Japanese Patients ◽  
Flexion Contracture ◽  
Dupuytren’S Disease ◽  
Acute Injury ◽  
Separate Entity ◽  
Dupuytren's Disease ◽  
Age And Sex

This paper reports the development of Dupuytren’s disease following acute injury in 16 hands in 14 Japanese patients. The patients included six women and eight men. Five patients developed disease following trauma, one following infection and eight following elective surgery. In the present series, the patient age and sex are irrelevant. The disease was unilateral, confined to a single digital ray, and without ectopic lesions in most cases. Disease presented predominantly in the ring or middle finger rays. There were only three patients who underwent surgery for definite flexion contracture. Diabetes mellitus was the most frequently associated risk factor. Our results suggest that Dupuytren’s disease following acute injury could be considered a separate entity from typical Dupuytren’s disease. At present, we believe that this condition should be considered a subtype of Dupuytren’s disease.

Clinical Results of Dermofasciectomy for Dupuytren’s Disease in Japanese Patients

2007 ◽  
Vol 32 (4) ◽  
pp. 407-410 ◽  
Author(s):  
Y. ABE ◽  
T. ROKKAKU ◽  
K. KUNIYOSHI ◽  
T. MATSUDO ◽  
T. YAMADA
Keyword(s):  
Skin Graft ◽  
Japanese Patients ◽  
Clinical Results ◽  
Metacarpophalangeal Joint ◽  
Flexion Contracture ◽  
Proximal Interphalangeal Joint ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
The Mean ◽  
A Minor

The surgical outcomes of dermofasciectomy for Dupuytren’s disease were evaluated in nine hands of eight patients in a Japanese population. The patients were examined for postoperative complications, problems associated with the skin graft, evidence of recurrent disease, sensation over the graft and pre- and postoperative range of motion at the metacarpophalangeal and the proximal interphalangeal joints. The mean two-point discrimination over the skin graft was 14 mm. The mean remaining flexion contracture at the metacarpophalangeal joint was 5° and that at the proximal interphalangeal joint was 34°. Recurrence occurred in two patients: one had a minor nodule and the other a natatory cord, which did not result in the redevelopment of a contracture. This study supports the use of dermofasciectomy for the treatment of recurrent Dupuytren’s disease, as well as for the treatment of primary disease in those patients with a strong Dupuytren’s diathesis in this population.

Dupuytren's disease, carpal tunnel syndrome, trigger finger, and diabetes mellitus

1995 ◽  
Vol 20 (1) ◽  
pp. 109-114 ◽  
Author(s):  
Michel Chammas ◽  
Philippe Bousquet ◽  
Eric Renard ◽  
Jean-Luc Poirier ◽  
Claude Jaffiol ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Dupuytren’S Disease ◽  
Trigger Finger ◽  
Dupuytren's Disease ◽  
Tunnel Syndrome

Cleland’s ligaments and Dupuytren’s disease

2013 ◽  
Vol 39 (5) ◽  
pp. 477-481 ◽  
Author(s):  
D. J. Shewring ◽  
U. Rethnam
Keyword(s):  
Histological Analysis ◽  
Residual Disease ◽  
Flexion Contracture ◽  
Joint Contracture ◽  
Dupuytren’S Disease ◽  
Histological Findings ◽  
Dupuytren's Disease ◽  
Pip Joint ◽  
Joint Flexion ◽  
Neurovascular Bundles

The aim of this study was to investigate whether Cleland’s ligaments are affected by Dupuytren’s disease and assess their contribution to the flexion contracture of the proximal interphalangeal (PIP) joint. Twenty patients with Dupuytren’s disease undergoing fasciectomy for a PIP joint contracture > 40° (mean 61°, range 45°–100°) were included. After excision of all other identifiable digital disease, Cleland’s ligaments were assessed. If they appeared to be macroscopically affected by Dupuytren’s disease they were excised, sent for histological analysis, and any further improvement of PIP joint contracture was recorded. There were 14 males and six females with a mean age of 62 (range 40–79) years. Excision of Cleland’s ligaments resulted in a mean further correction of 7° (range 0°–15°). Histological analysis indicated that Cleland’s ligament was clearly involved with Dupuytren’s disease in 12 patients, indicating that Cleland’s ligaments can be affected by Dupuytren’s disease. In the remaining specimens the histological findings were equivocal. As these structures are situated dorsal to the neurovascular bundles, a specific dissection has to be undertaken to identify them. Excision of Cleland’s ligaments at digital fasciectomy further avoids leaving residual disease and may yield a worthwhile further correction of PIP joint flexion contracture.

scholarly journals Dupuytren’s Contracture with Secondary Ulnar Neuropathy

2020 ◽  
Vol 11 (03) ◽  
pp. 481-483
Author(s):  
Chen Fei Ng
Keyword(s):  
Diabetes Mellitus ◽  
Clinical Symptoms ◽  
Chronic Alcoholism ◽  
Ulnar Neuropathy ◽  
Dupuytren’S Disease ◽  
Dupuytren’S Contracture ◽  
Hand Trauma ◽  
Dupuytren's Disease ◽  
Dupuytren's Contracture ◽  
Patients With Diabetes

AbstractDupuytren’s disease is a progressive fibrotic condition of the hand. The underlying pathomechanism is not fully known. Dupuytren’s contracture can be seen in patients with diabetes mellitus, chronic alcoholism, smoking, or hand trauma. It is uncommon to affect the neurovascular supply causing clinical symptoms. We describe a patient with idiopathic Dupuytren’s disease complicated with bilateral ulnar neuropathies and highlight the importance of such rare treatable complication.

scholarly journals Finger shortening for Dupuytren’s disease-induced severe PIP joint flexion contracture of the little finger: A report of two cases

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 11
Author(s):  
Yoko Ito ◽  
Kiyohito Naito ◽  
Nana Nagura ◽  
Yoichi Sugiyama ◽  
Hiroyuki Obata ◽  
...  
Keyword(s):  
Daily Living ◽  
Treatment Method ◽  
Flexion Contracture ◽  
Dupuytren’S Disease ◽  
High Patient Satisfaction ◽  
Dupuytren's Disease ◽  
Extended Position ◽  
Pip Joint ◽  
Joint Flexion ◽  
Little Finger

When severe proximal interphalangeal (PIP) joint flexion contracture is induced in the little finger by Dupuytren’s disease, it interferes with activities of daily living. To extend the little finger, open fasciectomy is selected as a general treatment method. However, postoperative complications have been frequently reported. To solve these problems, finger shortening was undertaken. In this study, we treated two cases of Dupuytren’s disease manifesting severe PIP joint flexion contracture of the little finger with finger shortening by proximodistal interphalangeal (PDIP) fusion in which the middle phalanx is resected and the residual distal and proximal phalanges are fused. For flexion contracture of the MP joint, a percutaneous aponeurotomy using an 18G needle was performed to obtain the extended position of the MP joint. Favorable outcomes with high patient satisfaction, including esthetic aspects of retaining the finger with the nail without complication, were achieved. We report this challenging treatment and its discussion.

The Proximal Interphalangeal Joint in Dupuytren’s Disease

1985 ◽  
Vol 10 (3) ◽  
pp. 358-364
Author(s):  
M. A. TONKIN ◽  
F. D. BURKE ◽  
J. P. W. VARIAN
Keyword(s):  
Surgical Approach ◽  
Proximal Phalanx ◽  
Flexion Contracture ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Joint Contracture ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Average Percentage ◽  
Percentage Improvement

In one hundred patients with Dupuytren’s disease, one hundred and fifty-four operations were performed. The average pre-operative proximal interphalangeal joint contracture was 42° and the average percentage improvement in proximal interphalangeal joint extension at post­operative review was 41%. Fourteen amputations were performed (9.1%). The primary deformity is caused by disease involvement of the palmar fascial structures. Secondary changes may prevent correction of the deformity despite excision of the contracted fascia. The anatomy of the joint is reviewed together with the primary and secondary mechanisms of joint contracture in Dupuytren's disease. Arthrodesis, osteotomy of the proximal phalanx and joint replacement are considered as alternatives to amputation when a systematic surgical approach fails to correct the flexion contracture.

DUPUYTREN'S DISEASE AND DIABETES MELLITUS

The Lancet ◽  
1981 ◽  
Vol 317 (8235) ◽  
pp. 1420 ◽  
Author(s):  
J.G. Heathcote ◽  
Harold Cohen ◽  
Jonathan Noble
Keyword(s):  
Diabetes Mellitus ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease

Dupuytren’s disease in diabetes mellitus

1977 ◽  
Vol 14 (3-4) ◽  
pp. 170-174 ◽  
Author(s):  
Mordchai Ravid ◽  
Yael Dinai ◽  
Ezra Sohar
Keyword(s):  
Diabetes Mellitus ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease
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