Dupuytren’s Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression
<i>Background and objectives:</i> Dupuytren’s contracture is a chronic fibroproliferative hand disorder with a varying pattern of genetic predisposition across different regions and populations. Traumatic events have been found to have influence on the development of this illness and are...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-06-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/56/7/323 |
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| author | Gediminas Samulėnas Rytis Rimdeika Kęstutis Braziulis Mantas Fomkinas Rokas Paškevičius |
| author_facet | Gediminas Samulėnas Rytis Rimdeika Kęstutis Braziulis Mantas Fomkinas Rokas Paškevičius |
| author_sort | Gediminas Samulėnas |
| collection | DOAJ |
| description | <i>Background and objectives:</i> Dupuytren’s contracture is a chronic fibroproliferative hand disorder with a varying pattern of genetic predisposition across different regions and populations. Traumatic events have been found to have influence on the development of this illness and are likely to trigger different clinical forms of this disease. The aim of this study was to evaluate the phenomenon of development of Dupuytren’s contracture (DC) following an acute injury to the hand, and to observe the incidence and clinical diversity of such cases in daily clinical practice. <i>Materials and Methods:</i> We collected data of patients presenting with primary Dupuytren’s contracture in the Lithuanian population and evaluated the occurrence and clinical manifestation of this specific type of DC, arising following acute hand trauma. The diagnosis of DC was based on clinical signs and physical examination. Digit contractures were measured by goniometry, and the staging was done according to Tubiana classification. Injury-induced (injury-related) cases were identified using the “Criteria for recognition of Dupuytren’s contracture after acute injury” (established by Elliot and Ragoowansi). <i>Results:</i> 29 (22%) of a total of 132 cases were injury-induced DCs. Twenty-six of 29 patients in this group presented with stage I–II contractures. Duration of symptoms was 6 (SD 2.2) and 3.8 (SD 2.2) years in the injury-related and injury-unrelated DC groups, respectively. Mean age on the onset of symptoms in the injury-induced and non-injury-induced groups was 52 (SD 10.7) and 56 (SD 10.9), respectively. Patients from both groups expressed strong predisposition towards development of DC. <i>Conclusions:</i> Around one-fifth of patients seeking treatment for primary Dupuytren’s contracture seemed to suffer from injury-induced Dupuytren’s contracture. We noted that injury to the wrist and hand seems to trigger the development of less progressive Dupuytren’s contracture in younger age. Prospective randomized studies are required to confirm our findings. |
| first_indexed | 2024-03-12T11:11:23Z |
| format | Article |
| id | doaj.art-2c0d9d7b57f440eab1cab40ad2f24ea4 |
| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T11:11:23Z |
| publishDate | 2020-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-2c0d9d7b57f440eab1cab40ad2f24ea42023-09-02T02:50:33ZengMDPI AGMedicina1010-660X2020-06-015632332310.3390/medicina56070323Dupuytren’s Contracture: Incidence of Injury-Induced Cases and Specific Clinical ExpressionGediminas Samulėnas0Rytis Rimdeika1Kęstutis Braziulis2Mantas Fomkinas3Rokas Paškevičius4Department of Plastic and Reconstructive Surgery, Lithuanian University of Health Sciences, Eivenių str.2, LT 50009 Kaunas, LithuaniaDepartment of Plastic and Reconstructive Surgery, Lithuanian University of Health Sciences, Eivenių str.2, LT 50009 Kaunas, LithuaniaDepartment of Plastic and Reconstructive Surgery, Lithuanian University of Health Sciences, Eivenių str.2, LT 50009 Kaunas, LithuaniaFaculty of Medicine, Lithuanian University of Health Sciences, Eivenių str. 2, LT 50009 Kaunas, LithuaniaFaculty of Medicine, Lithuanian University of Health Sciences, Eivenių str. 2, LT 50009 Kaunas, Lithuania<i>Background and objectives:</i> Dupuytren’s contracture is a chronic fibroproliferative hand disorder with a varying pattern of genetic predisposition across different regions and populations. Traumatic events have been found to have influence on the development of this illness and are likely to trigger different clinical forms of this disease. The aim of this study was to evaluate the phenomenon of development of Dupuytren’s contracture (DC) following an acute injury to the hand, and to observe the incidence and clinical diversity of such cases in daily clinical practice. <i>Materials and Methods:</i> We collected data of patients presenting with primary Dupuytren’s contracture in the Lithuanian population and evaluated the occurrence and clinical manifestation of this specific type of DC, arising following acute hand trauma. The diagnosis of DC was based on clinical signs and physical examination. Digit contractures were measured by goniometry, and the staging was done according to Tubiana classification. Injury-induced (injury-related) cases were identified using the “Criteria for recognition of Dupuytren’s contracture after acute injury” (established by Elliot and Ragoowansi). <i>Results:</i> 29 (22%) of a total of 132 cases were injury-induced DCs. Twenty-six of 29 patients in this group presented with stage I–II contractures. Duration of symptoms was 6 (SD 2.2) and 3.8 (SD 2.2) years in the injury-related and injury-unrelated DC groups, respectively. Mean age on the onset of symptoms in the injury-induced and non-injury-induced groups was 52 (SD 10.7) and 56 (SD 10.9), respectively. Patients from both groups expressed strong predisposition towards development of DC. <i>Conclusions:</i> Around one-fifth of patients seeking treatment for primary Dupuytren’s contracture seemed to suffer from injury-induced Dupuytren’s contracture. We noted that injury to the wrist and hand seems to trigger the development of less progressive Dupuytren’s contracture in younger age. Prospective randomized studies are required to confirm our findings.https://www.mdpi.com/1010-660X/56/7/323Dupuytren’s contractureacute injurydiathesisfalse Dupuytren’s contracture-traumatic formnon-Dupuytren’s palmar fascial disease |
| spellingShingle | Gediminas Samulėnas Rytis Rimdeika Kęstutis Braziulis Mantas Fomkinas Rokas Paškevičius Dupuytren’s Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression Medicina Dupuytren’s contracture acute injury diathesis false Dupuytren’s contracture-traumatic form non-Dupuytren’s palmar fascial disease |
| title | Dupuytren’s Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression |
| title_full | Dupuytren’s Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression |
| title_fullStr | Dupuytren’s Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression |
| title_full_unstemmed | Dupuytren’s Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression |
| title_short | Dupuytren’s Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression |
| title_sort | dupuytren s contracture incidence of injury induced cases and specific clinical expression |
| topic | Dupuytren’s contracture acute injury diathesis false Dupuytren’s contracture-traumatic form non-Dupuytren’s palmar fascial disease |
| url | https://www.mdpi.com/1010-660X/56/7/323 |
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