Dupuytren’s disease. State of the art and therapeutic perspectives

Dupuytren’s disease is a benign fibroproliferative disorder characterised by the sclerosis and the retractile thickening of the medial palmar aponeurosis and digital aponeurosis, which can lead to the progressive and irreversible finger flexion. Genetic, metabolic and environmental factors are invol...

Full description

Bibliographic Details
Main Authors: F.P. Cantatore, A. Corrado
Format: Article
Language:English
Published: PAGEPress Publications 2011-09-01
Series:Reumatismo
Online Access:http://www.reumatismo.org/index.php/reuma/article/view/318
_version_ 1811291065304481792
author F.P. Cantatore
A. Corrado
author_facet F.P. Cantatore
A. Corrado
author_sort F.P. Cantatore
collection DOAJ
description Dupuytren’s disease is a benign fibroproliferative disorder characterised by the sclerosis and the retractile thickening of the medial palmar aponeurosis and digital aponeurosis, which can lead to the progressive and irreversible finger flexion. Genetic, metabolic and environmental factors are involved in the pathogenesis of Dupuytren’s disease, but their role is not clearly established. Different medical therapies have been proposed for Dupuytren’s disease treatment, but their real effectiveness has not been shown. Surgical therapy (fasciectomy) is the most used treatment, whose purpose is to correct finger deformity and to avoid joint ankylosis. A team of French rheumatologists has developed a non-surgical approach, the percutaneous needle fasciotomy (PNF), whose results in less aggressive forms of Dupuytren’s disease are comparable to traditional surgery. PNF can be rapidly performed, presents a low cost and a low rate of complications and represents a valid alternative to surgical treatment of Dupuytren’s disease. In this review we report our results on 24 patients treated with PNA for Dupuytren’s contracture.
first_indexed 2024-04-13T04:22:51Z
format Article
id doaj.art-226cb0f21ca54a64adfb77f5008cb480
institution Directory Open Access Journal
issn 0048-7449
2240-2683
language English
last_indexed 2024-04-13T04:22:51Z
publishDate 2011-09-01
publisher PAGEPress Publications
record_format Article
series Reumatismo
spelling doaj.art-226cb0f21ca54a64adfb77f5008cb4802022-12-22T03:02:39ZengPAGEPress PublicationsReumatismo0048-74492240-26832011-09-0159211812810.4081/reumatismo.2007.118Dupuytren’s disease. State of the art and therapeutic perspectivesF.P. CantatoreA. CorradoDupuytren’s disease is a benign fibroproliferative disorder characterised by the sclerosis and the retractile thickening of the medial palmar aponeurosis and digital aponeurosis, which can lead to the progressive and irreversible finger flexion. Genetic, metabolic and environmental factors are involved in the pathogenesis of Dupuytren’s disease, but their role is not clearly established. Different medical therapies have been proposed for Dupuytren’s disease treatment, but their real effectiveness has not been shown. Surgical therapy (fasciectomy) is the most used treatment, whose purpose is to correct finger deformity and to avoid joint ankylosis. A team of French rheumatologists has developed a non-surgical approach, the percutaneous needle fasciotomy (PNF), whose results in less aggressive forms of Dupuytren’s disease are comparable to traditional surgery. PNF can be rapidly performed, presents a low cost and a low rate of complications and represents a valid alternative to surgical treatment of Dupuytren’s disease. In this review we report our results on 24 patients treated with PNA for Dupuytren’s contracture.http://www.reumatismo.org/index.php/reuma/article/view/318
spellingShingle F.P. Cantatore
A. Corrado
Dupuytren’s disease. State of the art and therapeutic perspectives
Reumatismo
title Dupuytren’s disease. State of the art and therapeutic perspectives
title_full Dupuytren’s disease. State of the art and therapeutic perspectives
title_fullStr Dupuytren’s disease. State of the art and therapeutic perspectives
title_full_unstemmed Dupuytren’s disease. State of the art and therapeutic perspectives
title_short Dupuytren’s disease. State of the art and therapeutic perspectives
title_sort dupuytren s disease state of the art and therapeutic perspectives
url http://www.reumatismo.org/index.php/reuma/article/view/318
work_keys_str_mv AT fpcantatore dupuytrensdiseasestateoftheartandtherapeuticperspectives
AT acorrado dupuytrensdiseasestateoftheartandtherapeuticperspectives