3 research outputs found
Recent Surgical and Medical Advances in the Treatment of Dupuytren’s Disease - A Systematic Review of the Literature
Dupuytren’s disease (DD) is a type of fibromatosis which progressively results in the shortening and thickening of the fibrous tissue of the palmar fascia. This condition which predominantly affects white-northern Europeans has been identified since 1614. DD can affect certain activities of daily living such as face washing, combing hair and putting hand in a glove. The origin of Dupuytren’s contracture is still unknown, but there are a number of treatments that doctors have come across throughout the years. Historically surgery has been the mainstay treatment for DD but not the only one. The objective is to make a structured review of the most recent advances in treatment of DD including the surgical and medical interventions. We have looked at the most relevant published articles regarding the various treatment options for DD. This review has taken 55 articles into consideration which have met the inclusion criteria. The most recent treatments used are multi-needle aponeurotomy, extensive percutaneous aponeurotomy and lipografting, injecting collagenase Clostridium histolyticum, INF-gamma and shockwave therapy as well as radiotherapy. Each of these treatments has certain advantages and drawbacks and cannot be used for every patient. In order to prevent this condition, spending more time and money in the topic is required to reach better and more consistent treatments and ultimately to eradicate this disease
Dupuytren’s disease
Dupuytren’s Disease is a chronic proliferative fibromatosis of the palmar fascias that affects predominantly males of over 50. First signs are nodules and skin pits in the palm of hand. These may progress into cords that ultimately may contract and obstruct extension of the fingers. There is a wide range of treatments available now, some more invasive and surgical, such as (dermo-) fasciectomy, and some less invasive such as needle fasciotomy and collagenase treatment. This chapter summarized the various aspects of the disease, as well as the short and long term effects of the various treatments, their advantages and disadvantages