PurposeThis registry study compares the patient-reported outcomes of 3 treatments for Dupuytren´s disease: open fasciectomy (OF), collagenase injection (CCH) and percutaneous needle fasciotomy (PNF).MethodsFrom Swedish national quality hand surgery (HAKIR) we included 2,585 procedures (in 2,414 patients): 1,200 were OF, 918 CCH, 467 PNF. The choice between CCH PNF varied mainly because regional...

The large number of publications on Dupuytren's contracture (D.C.) which continue to appear in the literature, demonstrates the great interest in this disease. Numerous theories on the aetiology and pathogenesis have been and still are being advanced, an indication that none of them is fully satisfactory. Many fundamentally different methods of treatment are recommended, and reports of excellen...

Abstract Introduction Dupuytren's diathesis describes an aggressive disease course with tendency for recurrence or extension following intervention. Conventional factors associated are ethnicity, family history, bilateral and ectopic disease. Disease is not the only cause of poor outcome This systematic review aimed to identify all that have been investigated a potential association development...

Reported is the case of a 68-year-old male presenting with severe wrist and hand stiffness following surgery for a Dupuytren's contracture. Complications of surgery or rehabilitation and complex regional pain syndrome were excluded as factors explaining this stiffness. Given the patient's diabetes mellitus and the striking similarity with the typical diabetic stiff hand, it is suggested that di...

We reviewed 79 patients with a total of 100 digits affected by Dupuytren's disease, who were treated surgically in our institution between 1990 and 1998. The mean follow-up was 4.4 years with a range of 2 to 10 years. Only patients with PIP joint deformity of more than 30 degrees were included in the study. All patients had radical excision of diseased fascia tissue to the mid axial line and ap...

OBJECTIVES To detail the transition to a totally one-stop wide-awake (OSWA) Dupuytren's contracture surgical service. DESIGN Retrospective review of Dupuytren's component of last 1000 OSWA cases. SETTING The UK's first totally one-stop wide-awake orthopaedic service. PARTICIPANTS 270 patients with Dupuytren's contracture out of the last 1000 OSWA cases. MAIN OUTCOME MEASURES Surgical ou...