Dupuytren's contracture: percutaneous needle aponeurotomy is an alternative to surgery

Dupuytren's contracture is a retractile fibrosis of the superficial palmar aponeurosis of the hand, resulting in a progressive and fixed flexion of the fingers that may result in severe limitation of hand function. It affects several millions of people in Europe and North America. Risk factors...

Full description

Saved in:
Bibliographic Details
Published in:La revue de medecine interne 2011-04, Vol.32 (4), p.241-248
Main Authors: Manet, M-P, Roulot, E, Teyssedou, J-P, Lahalle, S, Ziza, J-M
Format: Article
Language:fre
Subjects:
Diabetes Complications - epidemiology
Dupuytren Contracture - epidemiology
Dupuytren Contracture - surgery
Europe - epidemiology
Fasciotomy
Humans
Manipulation, Osteopathic
Minimally Invasive Surgical Procedures
Needles
North America - epidemiology
Patient Selection
Risk Factors
Tilt-Table Test
Treatment Outcome
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Dupuytren's contracture is a retractile fibrosis of the superficial palmar aponeurosis of the hand, resulting in a progressive and fixed flexion of the fingers that may result in severe limitation of hand function. It affects several millions of people in Europe and North America. Risk factors are genetic and sometimes related to mellitus diabetes. There is no spontaneous remission. Until recently, surgery was the only treatment, but now needle aponeurotomy emerges as a therapeutic alternative. It should be performed as first line treatment by a trained practitioner. Short and long-term results of needle aponeurotomy appear identical to those of surgery, with milder complications. It is indicated in palmar, palmo-digital, as well as in strictly digital forms of the disorder. The "table-test" is used to assess the loss of extension of the digit and to select the indication to needle aponeurotomy. A medico-surgical consensus should define the optimum treatment strategy in this affection.
ISSN:1768-3122
DOI:10.1016/j.revmed.2010.07.013