The Use of Splinting as a Non-Surgical Treatment for Dupuytren's Disease: A Pilot Study

2002 ◽  
Vol 7 (3) ◽  
pp. 76-78 ◽  
Author(s):  
Cathy Ball ◽  
Jagdeep Nanchahal
Keyword(s):  
Surgical Treatment ◽  
Pilot Study ◽  
Dupuytren’S Disease ◽  
Dupuytren's Disease ◽  
Preliminary Study ◽  
Proliferative Disease ◽  
Non Surgical Treatment

A preliminary study of six patients with Dupuytren's disease treated with external night splintage has demonstrated a reduction in digital contractures without loss of composite flexion. The greatest benefit was noted in patients with early, proliferative disease and was dependent on compliance with the splintage.

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

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.

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.

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.

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