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Dupuytren's Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression.
Medicina (Kaunas). 2020 Jun 30; 56(7)M

Abstract

Background and objectives: 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. Materials and

Methods:

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).

Results:

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.

Conclusions:

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.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery, Lithuanian University of Health Sciences, Eivenių str.2, LT 50009 Kaunas, Lithuania.Department of Plastic and Reconstructive Surgery, Lithuanian University of Health Sciences, Eivenių str.2, LT 50009 Kaunas, Lithuania.Department of Plastic and Reconstructive Surgery, Lithuanian University of Health Sciences, Eivenių str.2, LT 50009 Kaunas, Lithuania.Faculty of Medicine, Lithuanian University of Health Sciences, Eivenių str. 2, LT 50009 Kaunas, Lithuania.Faculty of Medicine, Lithuanian University of Health Sciences, Eivenių str. 2, LT 50009 Kaunas, Lithuania.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32629785

Citation

Samulėnas, Gediminas, et al. "Dupuytren's Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression." Medicina (Kaunas, Lithuania), vol. 56, no. 7, 2020.
Samulėnas G, Rimdeika R, Braziulis K, et al. Dupuytren's Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression. Medicina (Kaunas). 2020;56(7).
Samulėnas, G., Rimdeika, R., Braziulis, K., Fomkinas, M., & Paškevičius, R. (2020). Dupuytren's Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression. Medicina (Kaunas, Lithuania), 56(7). https://doi.org/10.3390/medicina56070323
Samulėnas G, et al. Dupuytren's Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression. Medicina (Kaunas). 2020 Jun 30;56(7) PubMed PMID: 32629785.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dupuytren's Contracture: Incidence of Injury-Induced Cases and Specific Clinical Expression. AU - Samulėnas,Gediminas, AU - Rimdeika,Rytis, AU - Braziulis,Kęstutis, AU - Fomkinas,Mantas, AU - Paškevičius,Rokas, Y1 - 2020/06/30/ PY - 2020/05/21/received PY - 2020/06/24/revised PY - 2020/06/25/accepted PY - 2020/7/8/entrez PY - 2020/7/8/pubmed PY - 2021/3/17/medline KW - Dupuytren’s contracture KW - acute injury KW - diathesis KW - false Dupuytren’s contracture-traumatic form KW - non-Dupuytren’s palmar fascial disease JF - Medicina (Kaunas, Lithuania) JO - Medicina (Kaunas) VL - 56 IS - 7 N2 - Background and objectives: 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. Materials and Methods: 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). Results: 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. Conclusions: 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. SN - 1648-9144 UR - https://www.unboundmedicine.com/medline/citation/32629785/Dupuytren's_Contracture:_Incidence_of_Injury_Induced_Cases_and_Specific_Clinical_Expression_ L2 - https://www.mdpi.com/resolver?pii=medicina56070323 DB - PRIME DP - Unbound Medicine ER -