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The Central African Journal of Medicine Jun 1993Four cases of Dupuytren's contracture treated at Mpilo Central Hospital over the last 13 years are presented. Three of these patients were men aged 45, 59 and 74 years.... (Review)
Review
Four cases of Dupuytren's contracture treated at Mpilo Central Hospital over the last 13 years are presented. Three of these patients were men aged 45, 59 and 74 years. Only one woman aged 55 years was treated during this period. All the four patients were indigenous Black Zimbabweans. There was some history of trauma to the affected upper limb in all three of the male patients and all of them agreed to being moderate smokers but only two gave a history of drinking alcohol. One of the men had been treated for pulmonary tuberculosis. The female patient has been on treatment for epilepsy for more than 10 years. There was no family history of Dupuytren's contracture in any of these patients. Although Dupuytren's contracture is generally considered to be a European disease this report and a few isolated case reports confirm that this condition occurs in indigenous Black Africans.
Topics: Aged; Black People; Dupuytren Contracture; Female; Hand Injuries; Humans; Male; Middle Aged; Smoking; Zimbabwe
PubMed: 8131202
DOI: No ID Found -
Journal of Perioperative Practice May 2013Dupuytren's contracture of the hand is an extremely common deformity in middle aged and elderly men but it is rarely encountered in women. It usually involves the fifth...
Dupuytren's contracture of the hand is an extremely common deformity in middle aged and elderly men but it is rarely encountered in women. It usually involves the fifth and fourth fingers, less commonly the other two fingers, and never the thumb. There is a flexion deformity between the head of the metacarpal and the adjacent proximal phalanx and at the proximal interphalangeal joint. However, the distal interphalangeal joint is not affected. Indeed, in a severe case, the distal phalanx may actually be extended as it becomes progressively pressed into the palm of the hand. It is often bilateral and may affect the sole of the foot--although I have only had one old gentleman where his foot lesion troubled him enough for him to request surgical cure.
Topics: Dupuytren Contracture; France; History, 18th Century; Humans
PubMed: 23767268
DOI: 10.1177/175045891302300505 -
California Medicine Apr 1969Although Dupuytren's contracture was first described more than 300 years ago, the cause is not yet certainly known. It is only agreed that the disease process affecting...
Although Dupuytren's contracture was first described more than 300 years ago, the cause is not yet certainly known. It is only agreed that the disease process affecting the palmar fascia is most commonly found in older-aged males of Caucasian descent. Conservative or non-surgical treatment is usually ineffective. Surgical treatment includes fasciotomy, partial fasciectomy and total fasciectomy. Fasciotomy is indicated for localized disease or for patients with medical conditions which preclude more extensive operation. Subtotal fasciectomy with or without skin graft is the most commonly employed procedure. Total palmar fasciectomy is seldom indicated. Improved function of the hand can be anticipated after adequate surgical intervention.
Topics: Dupuytren Contracture; Humans
PubMed: 5798498
DOI: No ID Found -
Annals of Surgery Nov 1954
Topics: Dupuytren Contracture; Humans
PubMed: 13208116
DOI: 10.1097/00000658-195411000-00007 -
British Journal of Plastic Surgery Dec 1999Recent advances in the understanding of myofibroblast histology and function, the activity of fibrogenic cytokines, the role of the extracellular matrix and of free... (Review)
Review
Recent advances in the understanding of myofibroblast histology and function, the activity of fibrogenic cytokines, the role of the extracellular matrix and of free radicals are contributing to an understanding of the aetiology of Dupuytren's disease but not yet to its treatment. Surgical excision remains the best treatment.
Topics: Dupuytren Contracture; Free Radicals; Growth Substances; Humans
PubMed: 10658134
DOI: 10.1054/bjps.1999.3187 -
International Journal of Clinical... Nov 2001The first case of Dupuytren's contracture in a black patient with no obvious caucasian admixture was reported in 1979. This condition is rare in the purely black... (Review)
Review
The first case of Dupuytren's contracture in a black patient with no obvious caucasian admixture was reported in 1979. This condition is rare in the purely black population and since 1979 only 23 cases have been reported. We present the case of a black man with no history of caucasian admixture with bilateral Dupuytren's contracture. We suggest that this condition may not be as rare as the literature suggests and, that canvassing other hand societies for their experience, particularly in the continent of Africa, may help to establish the true incidence of this condition.
Topics: Aged; Black People; Dupuytren Contracture; Humans; Male
PubMed: 11770364
DOI: No ID Found -
The Surgical Clinics of North America Apr 1967
Topics: Aged; Dupuytren Contracture; Female; Humans; Male; Middle Aged; Skin Transplantation; Transplantation, Autologous
PubMed: 5336808
DOI: 10.1016/s0039-6109(16)38187-7 -
The Journal of Hand Surgery, European... Feb 2015Although much has been published about the treatment of Dupuytren's disease, there is no clear consensus regarding the most effective form of treatment. Part of this... (Review)
Review
Although much has been published about the treatment of Dupuytren's disease, there is no clear consensus regarding the most effective form of treatment. Part of this uncertainty may result from the absence of a universal method of assessing this condition. We undertook a review of the literature in order to summarize the various methods by which Dupuytren's disease has been measured and quantified. We included all articles that offered a classification or assessment system for the disease. We excluded articles that dealt solely with surgical technique (although inevitably there was some overlap). We conclude that there are many methods of assessment, but that none of them is perfect and that further work is needed in the field.
Topics: Dupuytren Contracture; Health Status Indicators; Humans
PubMed: 25618867
DOI: 10.1177/1753193414560511 -
Plastic and Reconstructive Surgery Sep 2007After studying this article, the participant should be able to: 1. Describe the clinical features of the disease. 2. Describe the pathoanatomical structures in... (Review)
Review
LEARNING OBJECTIVES
After studying this article, the participant should be able to: 1. Describe the clinical features of the disease. 2. Describe the pathoanatomical structures in Dupuytren's disease. 3. Outline the various factors associated with Dupuytren's disease. 4. Describe the modalities for surgical and nonsurgical treatment of the condition. 5. Outline recent biomolecular knowledge about the basis of Dupuytren's disease.
SUMMARY
Dupuytren's disease is characterized by nodule formation and contracture of the palmar fascia, resulting in flexion deformity of the fingers and loss of hand function. The authors review the historical background, clinical features, and current therapy of Dupuytren's disease; preview treatment innovations; and present molecular data related to Dupuytren's disease. These new findings may improve screening for Dupuytren's disease and provide a better understanding of the disease's pathogenesis.
Topics: Dupuytren Contracture; Humans; Plastic Surgery Procedures
PubMed: 17700106
DOI: 10.1097/01.prs.0000278455.63546.03 -
Beitrage Zur Orthopadie Und... Mar 1971
Topics: Baths; Dupuytren Contracture; Gymnastics; Humans; Hyaluronoglucosaminidase; Physical Therapy Modalities; Sex Factors
PubMed: 5111342
DOI: No ID Found