Dupuytren's disease: diagnosis and treatment.

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Abstract

[Indexed for MEDLINE] 13. Orthopade. 2017 Apr;46(4):336-341. doi: 10.1007/s00132-017-3395-5. [Primary intervention in Dupuytren's disease]. [Article in German] Vesper US(1), Mehling IM(2), Arsalan-Werner A(2), Sauerbier M(2). Author information: (1)Abteilung für Plastische-, Hand- und Rekonstruktive Chirurgie, BG-Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland. ulli.vesper@bgu-frankfurt.de. (2)Abteilung für Plastische-, Hand- und Rekonstruktive Chirurgie, BG-Unfallklinik Frankfurt am Main, Friedberger Landstraße 430, 60389, Frankfurt am Main, Deutschland. Partial aponeurectomy as the state-of-the-art treatment in Dupuytren's disease is indicated when minimally invasive forms of treatment, such as needle aponeurotomy or percutaneous collagenase injection, are not possible due to the advanced stage of the disease or the morphology of the contracture. Even in earlier stages of Dupuytren disease partial aponeurectomy has advantages in comparison to minimally invasive forms of treatment. These advantages are lower recurrence rates as well as less persistent residual contractures, especially in the proximal interphalangeal joint. DOI: 10.1007/s00132-017-3395-5