Effectiveness of Conservative, Surgical, and Postsurgical Interventions for Trigger Finger, Dupuytren Disease, and De Quervain Disease: A Systematic Review.

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Abstract

[Indexed for MEDLINE] 3. West J Med. 1990 Apr;152(4):430-3. Dupuytren's disease. Gonzalez SM(1), Gonzalez RI. Author information: (1)Department of Surgery, Stanford University School of Medicine, California. Dupuytren's disease is an extremely common malady, affecting as many as 3% of the general population. Presenting features are variable and include simple asymptomatic palmar nodules or refractory contractures of the interphalangeal joints. Substantial associations with knuckle pads, plantar nodules, and Peyronie's disease are noteworthy. Although a strong familial tendency is present, the precise pathologic mechanism is unknown. Treatment is frequently unnecessary, but when indicated it includes a variety of surgical alternatives. An appropriately timed referral to a surgical specialist before irreversible contracture of the interphalangeal joints can prevent a permanent loss of function. When surgical intervention is not elected, careful and regular follow-up is necessary to detect early joint contracture. PMCID: PMC1002387