Journal article
Dupuytren's disease: diagnosis and treatment
American family physician, v 76(1)
01 Jul 2007
PMID: 17668844
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Dupuytren's disease is a progressive condition that causes the fibrous tissue of the palmar fascia to shorten and thicken. The disease is common in men older than 40 years; in persons of Northern European descent; and in persons who smoke, use alcohol, or have diabetes. Patients present with a small, pitted nodule (or multiple nodules) on the palm, which slowly progresses to contracture of the fingers. The disease initially can be managed with observation and nonsurgical therapy. It will regress without treatment in approximately 10 percent of patients. Steroid injection into the nodule has been shown to reduce the need for surgery. Surgical referral should be made when metacarpophalangeal joint contracture reaches 30 degrees or when proximal interphalangeal joint contracture occurs at any degree. Timing of surgical intervention varies, but surgery is usually performed when the metacarpophalangeal joint contracture exceeds 40 degrees or when the proximal interphalangeal joint contracture exceeds 20 degrees. In-office percutaneous needle aponeurotomy is an alternative to surgery.
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Details
- Title
- Dupuytren's disease: diagnosis and treatment
- Creators
- Thomas H Trojian - Dept of Family Medicine, University of Connecticut Health Center/Saint Francis Hospital and Medical Center, Hartford 06105, USA. ttrojian@stfranciscare.orgStephanie M Chu
- Publication Details
- American family physician, v 76(1)
- Publisher
- United States
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:000248030700010
- Scopus ID
- 2-s2.0-34447119428
- Other Identifier
- 991014878133804721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Primary Health Care