Histological Staging and Dupuytren’s Disease Recurrence or Extension after Surgical Treatment: A Retrospective Study of 124 Patients

2009 ◽  
Vol 34 (4) ◽  
pp. 493-496 ◽  
Author(s):  
T. BALAGUER ◽  
S. DAVID ◽  
T. IHRAI ◽  
N. CARDOT ◽  
G. DAIDERI ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Reliable Method ◽  
Disease Recurrence ◽  
High Rate ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Significant Difference ◽  
Caucasian Patients ◽  
Histological Staging

Dupuytren’s disease has a high rate of recurrence after treatment. In this study we have assessed the usefulness of histological staging in the prediction of recurrence. We have also verified whether there is a correlation between histological staging and features of Dupuytren’s diathesis. We studied 139 hands in 124 Caucasian patients treated between 1997 and 2004. There was a significant difference in the recurrence rate between the three histological types ( P = 0.04). Histological staging was independent of features of Dupuytren’s diathesis. This study confirms that histological staging is a reliable method for predicting recurrence. However, it should be used in association with clinical data to determine precisely the prognosis of patients suffering from Dupuytren’s contracture.

scholarly journals The influence of Dupuytren's disease fingers contracture degree on surgical treatment outcome

2017 ◽  
Vol 74 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Nenad Stepic ◽  
Jovana Koncar ◽  
Milica Rajovic
Keyword(s):  
Surgical Treatment ◽  
Functional Limitations ◽  
Joint Contracture ◽  
Dupuytren’S Disease ◽  
Optimal Time ◽  
Dupuytren's Disease ◽  
Significant Difference ◽  
Pip Joint ◽  
Group 3 ◽  
Reduction Index

Background/Aim. Dupuytren?s disease is a progressive disease of the palmar and digital fascial structures, with functional limitations. There are no clear recommendations about the optimal time of surgical repair, concerning the hand impairment. The aim of our study was to investigate the relation between finger?s contracture degree and success of surgical treatment of the Dupuytren's disease. Methods. This prospective analysis included 60 patients operated on due to Dupuytren?s contracture. According to preoperative contracture degree of proximal interphalangeal (PIP) and metacarpophalangeal (MCP) joint, patients were divided into three groups: the group 1: < 15?, the group 2: 15?30? and the group 3: > 30?. All the patients underwent operation of partial palmar fasciectomy. Postoperative improvement was expressed with contracture reduction INDEX. Results. There were 60 patients with 85 fingers affected. The groups 1, 2 and 3 had 22 (37%), 37 (62%) and 26 (43%) fingers with MCP contracture and 32 (37.4%), 24 (28.2%) and 29 (34.1%) fingers with PIP contracture, respectively. Postoperative contractures of MCP joint in these groups were 0, 0.135? and 5?, and of PIP joint 0, 2.08 ? and 16.89?, respectively. After six months all MCP contractures resolved, while PIP joint contracture in the group 3 remained 13.62?. The reduction INDEX was 98.85%, 97.62% and 75.52% in the groups 1, 2 and 3, respectively. There was a statistically significant difference in the INDEX value between the groups (p = 0.0001). Conclusion. The degree of PIP joint contracture is related to the outcome of surgical treatment of Dupuytren?s disease. Optimal results are achieved when contracture degree is between 15? and 30?. Surgical treatment of MCP joint contracture is successful regardless of the preoperative joint contracture degree.

THE McCASH TECHNIQUE FOR DUPUYTREN'S DISEASE: OUR EXPERIENCE

Hand Surgery ◽  
2014 ◽  
Vol 19 (01) ◽  
pp. 61-67 ◽  
Author(s):  
Aristides B. Zoubos ◽  
Nikolaos A. Stavropoulos ◽  
George C. Babis ◽  
Andreas F. Mavrogenis ◽  
Zinon T. Kokkalis ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Sensory Evaluation ◽  
Rehabilitation Program ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Bilateral Involvement ◽  
Pip Joint ◽  
The Mean ◽  
Acceptable Outcome

This study presents the clinical outcomes of 35 hands with Dupuytren's Disease treated with the McCash technique between 1990 and 2009. Of the 31 patients (28 males and three females, mean age 53 yrs), four patients had bilateral involvement (12.9%). Thirty hands had no previous medical or surgical treatment for the disease, while the remaining five hands had been operated on at least once. The mean contracture of metacarpophalangeal (MCP) joint improved from 42.14° to 1.83°, while that of the proximal interphalangeal (PIP) joint improved from 62.60° to 7.09°. All wounds healed within a mean 9.8 weeks. Sensory evaluation revealed no permanent numbness. With realistic expectations, clear documentation, meticulous surgical technique and implementation of a demanding post-operative rehabilitation program, an acceptable outcome may be achieved with the McCash technique for Dupuytren's disease.

Dupuytren’s disease

2011 ◽  
Author(s):  
Peter Burge
Keyword(s):  
Surgical Treatment ◽  
Steroid Injection ◽  
Treatment Options ◽  
Genetic Component ◽  
Dupuytren’S Disease ◽  
Palmar Fascia ◽  
Dupuytren's Disease ◽  
Collagenase Injection ◽  
Operative Complications ◽  
Non Surgical Treatment

♦ Dupuytren’s disease is characterised by contracture of a finger resulting from thickening and shortening of the palmar fascia♦ A genetic component to the aetiology is apparent, smoking, alcohol and diabetes can increase the risk♦ The pathogenesis of Dupuytren’s disease remains elusive♦ Non-surgical treatment options include splintage, steroid injection and collagenase injection♦ Surgery cannot cure the disease but can straighten bent digits and minimize recurrence♦ Operative methods can be considered with regards to incision, management of the diseased fascia and closure techniques♦ Operative complications include injury of digital nerves and arteries

Recurrent Dupuytren’s disease after fasciectomy and collagenase injection are histologically indistinguishable

2020 ◽  
Vol 45 (5) ◽  
pp. 508-512
Author(s):  
Rafael Sanjuan-Cervero ◽  
Francisco J. Carrera-Hueso ◽  
Manuel Vaquero-Perez ◽  
Daniel Montaner-Alonso
Keyword(s):  
Cohort Study ◽  
Prospective Cohort ◽  
Previous Treatment ◽  
Disease Recurrence ◽  
Dupuytren’S Disease ◽  
Collagenase Clostridium Histolyticum ◽  
Dupuytren's Disease ◽  
Clostridium Histolyticum ◽  
Collagenase Injection ◽  
Previously Treated

The aim of this study was to determine whether recurrent Dupuytren’s disease after collagenase Clostridium histolyticum treatment differs histologically from recurrence in those treated with fasciectomy. We carried out a prospective cohort study of patients with Dupuytren’s disease who underwent fasciectomy to treat disease recurrence after previous treatment with collagenase Clostridium histolyticum or fasciectomy. The pathologists and statistician were blinded to the previous treatment. Longitudinal biopsy sections were stained with haematoxylin-eosin and the nodular zones were examined. Fifteen patients were studied: nine previously treated with collagenase Clostridium histolyticum and six previously treated with fasciectomy. There were no histological differences between the samples from the two groups of patients. Dupuytren’s disease recurrences after fasciectomy and collagenase Clostridium histolyticum are histologically indistinguishable.

scholarly journals β-Catenin Overexpression in Dupuytren’s Disease Is Unrelated to Disease Recurrence

2008 ◽  
Vol 467 (3) ◽  
pp. 838-845 ◽  
Author(s):  
Ilse Degreef ◽  
Luc De Smet ◽  
Raf Sciot ◽  
Jean-Jacques Cassiman ◽  
Sabine Tejpar
Keyword(s):  
Disease Recurrence ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease

scholarly journals Preventing cesareans with peanut ball use

2019 ◽  
Vol 10 (1) ◽  
pp. 107
Author(s):  
Lauren Outland ◽  
Yolanda Alvarado
Keyword(s):  
Retrospective Study ◽  
Epidural Anesthesia ◽  
The United States ◽  
High Rate ◽  
Post Intervention ◽  
Vaginal Deliveries ◽  
Significant Difference ◽  
Cesarean Births ◽  
Retrospective Study Design ◽  
The Difference

The Association of Women's Health Obstetrical and Neonatal Nurses (AWHONN) has launched a Peanut Ball campaign to help curb the high rate of cesarean births in the United States. Cesarean births are especially likely in women who receive epidural anesthesia due to immobility and pelvic laxity. The peanut ball (PB) is a birthing ball that when placed between the mother's legs can increase pelvic dimensions and facilitate fetal descent and birth. For PB to increase vaginal deliveries (VDs), nurses on obstetrical wards need to “buy in” to using this innovation. Having “innovator” nurses on the shift helped disseminate the PB intervention and increased the rate of VDs. Using a retrospective study design that uses data collected for non-research purposes saves time and cost. Our retrospective study examined the difference in VDs with patient controlled epidural anesthesia (PCEA) in the first five months of 2016 prior to PB use compared with the same months in 2017 post intervention. Using a paired t-test we found a significant difference of successful PCEA vaginal births in 2016 compared to 2017 (p = .008). This relatively inexpensive and easy survey can be done by most obstetrical services and help AWHONN in their campaign to decrease the rate of cesarean sections.

scholarly journals Evaluation of surgical treatment of Dupuytren's disease by modified open palm technique

2014 ◽  
Vol 49 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Thiago Almeida Guilhen ◽  
Ana Beatriz Macedo Vieira ◽  
Marcelo Claudiano de Castro ◽  
Helton Hiroshi Hirata ◽  
Itibagi Rocha Machado
Keyword(s):  
Surgical Treatment ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease

Prognosis of Long-term Postoperative Complications after Surgical Treatment of Dupuytren's Disease (Contracture)

2019 ◽  
Vol 12 (3) ◽  
pp. 1055
Author(s):  
Gleb I. Mikusev ◽  
Rustem F. Baikeev ◽  
Ruslan O. Magomedov ◽  
Ivan E. Mikusev ◽  
Timur S. Mishakin
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease

scholarly journals The Tag Test for Dupuytren's Surgery

Hand ◽  
2009 ◽  
Vol 4 (3) ◽  
pp. 270-271
Author(s):  
C. P. Charalambous ◽  
S. P. Mills ◽  
M. J. Hayton
Keyword(s):  
Surgical Treatment ◽  
Nerve Injury ◽  
Dupuytren’S Disease ◽  
Simple Test ◽  
Digital Nerve ◽  
Dupuytren's Disease

Digital nerve injury is a well-recognised complication of surgical treatment for Dupuytren's disease. We describe a simple test, the Tag test, that can be used intra-operatively to help identification of the digital nerves.

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