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1. Surgery for Dupuytren's contracture of the fingers. (PubMed)

Surgery for Dupuytren's contracture of the fingers. Dupuytren's disease is a benign fibroproliferative disorder that causes the fingers to be drawn into the palm via formation of new tissue under the glabrous skin of the hand. This disorder causes functional limitations, but it can be treated through a variety of surgical techniques. As a chronic condition, it tends to recur.To assess the benefits and harms of different surgical procedures for treatment of Dupuytren's contracture of the index (...) , ProQuest (ABI/INFORM Global and Dissertations & Theses), the Institute for Scientific Information (ISI) Web of Science and clinicaltrials.gov. We reviewed the reference lists of short-listed articles to identify additional suitable studies.We included randomised clinical trials and controlled clinical trials in which groups received surgical intervention for Dupuytren's disease of the index, middle, ring or little finger versus control, or versus another intervention (surgical or otherwise). We

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2015 Cochrane

2. Collagenase Treatment in Dupuytren Contractures: A Review of the Current State Versus Future Needs (PubMed)

Collagenase Treatment in Dupuytren Contractures: A Review of the Current State Versus Future Needs Dupuytren disease is highly prevalent and the finger contractures can be very extensile, compromising the patients' hand function. To restore full function, contractures have been addressed by cutting the causative strands for nearly 200 years, ever since Baron Guillaume Dupuytren demonstrated his technique at the beginning of the nineteenth century. Surgery can be minimal (fasciotomy) or quite (...) invasive (fasciectomy and even skin replacement). However, in the last decade translational research has introduced the non-surgical technique of enzymatic fasciotomy with collagenase injections. Now, finger contractures can be released with single injections on monthly intervals, to address one joint contracture at a time. However, in hands affected with Dupuytren contractures to the extent that the patient calls for treatment, most often more than one joint is involved. In surgical treatment options

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2016 Rheumatology and therapy

3. Reply: Percutaneous Aponeurotomy and Lipofilling (PALF) versus Limited Fasciectomy in Patients with Primary Dupuytren's Contracture: A Prospective, Randomized, Controlled Trial. (PubMed)

Reply: Percutaneous Aponeurotomy and Lipofilling (PALF) versus Limited Fasciectomy in Patients with Primary Dupuytren's Contracture: A Prospective, Randomized, Controlled Trial. 28418981 2017 08 10 2018 12 02 1529-4242 140 2 2017 08 Plastic and reconstructive surgery Plast. Reconstr. Surg. Reply: Percutaneous Aponeurotomy and Lipofilling (PALF) versus Limited Fasciectomy in Patients with Primary Dupuytren's Contracture: A Prospective, Randomized, Controlled Trial. 358e-359e 10.1097/PRS (...) .0000000000003537 Kan Hester J HJ Department of Plastic, Reconstructive, and Hand Surgery, Erasmus Medical Center, Rotterdam, The Netherlands Department of Plastic, Reconstructive, and Hand Surgery, Department of Rehabilitation Medicine at Rijndam, Erasmus Medical Center, Rotterdam, The Netherlands Department of Plastic, Reconstructive, and Hand Surgery, Erasmus Medical Center, Rotterdam, The Netherlands Miami Hand Center, Miami, Fla. Department of Plastic, Reconstructive, and Hand Surgery, Erasmus Medical

2017 Plastic and reconstructive surgery

4. Effectiveness of conservative, surgical, and post-surgical interventions for Trigger finger, Dupuytren's disease, and De Quervain's disease. A systematic review. (PubMed)

Effectiveness of conservative, surgical, and post-surgical interventions for Trigger finger, Dupuytren's disease, and De Quervain's disease. A systematic review. To provide an evidence-based overview of the effectiveness of conservative and (post)surgical interventions for trigger finger, Dupuytren disease, and De Quervain disease.Cochrane Library, Physiotherapy Evidence Database, PubMed, Embase, and CINAHL were searched to identify relevant systematic reviews and randomized controlled trials (...) ), physiotherapy (De Quervain disease), injections and surgical treatment (trigger finger, Dupuytren disease, and De Quervain disease), and other conservative (De Qervain disease) and postsurgical treatment (Dupuytren disease). Moderate evidence was found for the effect of corticosteroid injection on the very short term for trigger finger, De Quervain disease, and for injections with collagenase (30d) when looking at all joints, and no evidence was found when looking at the PIP joint for Dupuytren disease

2017 Archives of physical medicine and rehabilitation

5. Dupuytren disease: European hand surgeons, hand therapists, and physical medicine and rehabilitation physicians agree on a multidisciplinary treatment guideline: results from the HANDGUIDE study. (PubMed)

Dupuytren disease: European hand surgeons, hand therapists, and physical medicine and rehabilitation physicians agree on a multidisciplinary treatment guideline: results from the HANDGUIDE study. Multidisciplinary treatment guidelines for Dupuytren disease can aid in optimizing the quality of care for patients with this disorder. Therefore, this study aimed to achieve consensus on a multidisciplinary treatment guideline for Dupuytren disease.A European Delphi consensus strategy was initiated (...) . A systematic review reporting on the effectiveness of interventions was conducted and used as an evidence-based starting point for this study. In total, 39 experts (hand surgeons, hand therapists, and physical medicine and rehabilitation physicians) participated in the Delphi consensus strategy. Each Delphi round consisted of a questionnaire, an analysis, and a feedback report.After four Delphi rounds, consensus was achieved on the description, symptoms, and diagnosis of Dupuytren disease. No nonsurgical

2013 Plastic and reconstructive surgery

6. Music Therapy for Rehabilitation in Stroke Patients

Examination <24 Presence of neglect Previous or concomitant disabling diseases for upper limb function (Eg: Parkinson's disease, multiple sclerosis, shoulder's periarthritis, Dupuytren's disease, etc.) Previous rehabilitative treatments with music Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its (...) Music Therapy for Rehabilitation in Stroke Patients Music Therapy for Rehabilitation in Stroke Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Music Therapy for Rehabilitation in Stroke Patients

2017 Clinical Trials

7. Construct validity of the canadian occupational performance measure in participants with tendon injury and dupuytren disease. (PubMed)

[goniometer], grip strength [dynamometer], and pinch grip strength [pinch meter]). People who had received postsurgery rehabilitation for flexor tendon injuries, extensor tendon injuries, or Dupuytren disease were eligible.Seventy-two participants were included. For all diagnosis groups, the Pearson coefficient of correlation between the DASH questionnaire and the MHQ was higher than .60, whereas the correlation between the performance scale of the COPM and either the DASH questionnaire or the MHQ (...) was lower than .51. Correlations of these assessment tools with measures of hand impairments were lower than .46.The small sample sizes may limit the generalization of the results.The results supported the hypotheses and, thus, the construct validity of the COPM after surgery in people with hand conditions.© 2015 American Physical Therapy Association.

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2015 Physical therapy

8. Dupuytren Contracture (Follow-up)

for coverage of a very large palmar defect after radical dermofasciectomy for disabling recurrent Dupuytren disease. [ ] Following multiple revisions and extensive hand rehabilitation, flexion deformities were significantly improved and satisfactory function was obtained. Previous Next: Fasciotomy Closed fasciotomy In closed fasciotomy for Dupuytren disease, a limiting cord of diseased, superficial fascia is incised via an overlying skin incision. This technique can be successful in MCP contractures (...) with Dupuytren diathesis. [ ] Logan recommended dermofasciectomy as the first line of treatment for recurrent digital Dupuytren disease but found that it did not prevent recurrence in all cases. [ ] He also noted that the immobilization required for the associated skin grafts interfered with early postoperative rehabilitation. McFarlane criticized this approach on the grounds that it may not address the presence of diseased retrovascular tissue and suggested that the exposed flexor tendon sheath

2014 eMedicine Surgery

9. Dupuytren Contracture (Diagnosis)

for coverage of a very large palmar defect after radical dermofasciectomy for disabling recurrent Dupuytren disease. [ ] Following multiple revisions and extensive hand rehabilitation, flexion deformities were significantly improved and satisfactory function was obtained. Previous Next: Fasciotomy Closed fasciotomy In closed fasciotomy for Dupuytren disease, a limiting cord of diseased, superficial fascia is incised via an overlying skin incision. This technique can be successful in MCP contractures (...) with Dupuytren diathesis. [ ] Logan recommended dermofasciectomy as the first line of treatment for recurrent digital Dupuytren disease but found that it did not prevent recurrence in all cases. [ ] He also noted that the immobilization required for the associated skin grafts interfered with early postoperative rehabilitation. McFarlane criticized this approach on the grounds that it may not address the presence of diseased retrovascular tissue and suggested that the exposed flexor tendon sheath

2014 eMedicine Surgery

10. Dupuytren Contracture (Diagnosis)

been reported. [ ] Previous Next: Patient Education Patients must have realistic expectations that surgery can relieve some disability but that it cannot cure Dupuytren disease. Discuss all potential complications of the procedure, including complex regional pain syndrome. In addition, intensive rehabilitation with an occupational therapist is necessary postoperatively for an optimal outcome. Previous References Verheyden CN. The history of Dupuytren's contracture. Clin Plast Surg . 1983 Oct. 10(4 (...) . Does a 'firebreak' full-thickness skin graft prevent recurrence after surgery for Dupuytren's contracture?: a prospective, randomised trial. J Bone Joint Surg Br . 2009 Mar. 91(3):374-8. . Villani F, Choughri H, Pelissier P. [Importance of skin graft in preventing recurrence of Dupuytren's contracture]. Chir Main . 2009 Dec. 28(6):349-51. . Mullins PA. Postsurgical rehabilitation of Dupuytren's disease. Hand Clin . 1999 Feb. 15(1):167-74, viii. . Samargandi OA, Alyouha S, Larouche P, Corkum JP

2014 eMedicine.com

11. Dupuytren Contracture (Diagnosis)

been reported. [ ] Previous Next: Patient Education Patients must have realistic expectations that surgery can relieve some disability but that it cannot cure Dupuytren disease. Discuss all potential complications of the procedure, including complex regional pain syndrome. In addition, intensive rehabilitation with an occupational therapist is necessary postoperatively for an optimal outcome. Previous References Verheyden CN. The history of Dupuytren's contracture. Clin Plast Surg . 1983 Oct. 10(4 (...) . Does a 'firebreak' full-thickness skin graft prevent recurrence after surgery for Dupuytren's contracture?: a prospective, randomised trial. J Bone Joint Surg Br . 2009 Mar. 91(3):374-8. . Villani F, Choughri H, Pelissier P. [Importance of skin graft in preventing recurrence of Dupuytren's contracture]. Chir Main . 2009 Dec. 28(6):349-51. . Mullins PA. Postsurgical rehabilitation of Dupuytren's disease. Hand Clin . 1999 Feb. 15(1):167-74, viii. . Samargandi OA, Alyouha S, Larouche P, Corkum JP

2014 eMedicine.com

12. Dupuytren Contracture (Diagnosis)

been reported. [ ] Previous Next: Patient Education Patients must have realistic expectations that surgery can relieve some disability but that it cannot cure Dupuytren disease. Discuss all potential complications of the procedure, including complex regional pain syndrome. In addition, intensive rehabilitation with an occupational therapist is necessary postoperatively for an optimal outcome. Previous References Verheyden CN. The history of Dupuytren's contracture. Clin Plast Surg . 1983 Oct. 10(4 (...) . Does a 'firebreak' full-thickness skin graft prevent recurrence after surgery for Dupuytren's contracture?: a prospective, randomised trial. J Bone Joint Surg Br . 2009 Mar. 91(3):374-8. . Villani F, Choughri H, Pelissier P. [Importance of skin graft in preventing recurrence of Dupuytren's contracture]. Chir Main . 2009 Dec. 28(6):349-51. . Mullins PA. Postsurgical rehabilitation of Dupuytren's disease. Hand Clin . 1999 Feb. 15(1):167-74, viii. . Samargandi OA, Alyouha S, Larouche P, Corkum JP

2014 eMedicine.com

13. Dupuytren Contracture (Overview)

been reported. [ ] Previous Next: Patient Education Patients must have realistic expectations that surgery can relieve some disability but that it cannot cure Dupuytren disease. Discuss all potential complications of the procedure, including complex regional pain syndrome. In addition, intensive rehabilitation with an occupational therapist is necessary postoperatively for an optimal outcome. Previous References Verheyden CN. The history of Dupuytren's contracture. Clin Plast Surg . 1983 Oct. 10(4 (...) . Does a 'firebreak' full-thickness skin graft prevent recurrence after surgery for Dupuytren's contracture?: a prospective, randomised trial. J Bone Joint Surg Br . 2009 Mar. 91(3):374-8. . Villani F, Choughri H, Pelissier P. [Importance of skin graft in preventing recurrence of Dupuytren's contracture]. Chir Main . 2009 Dec. 28(6):349-51. . Mullins PA. Postsurgical rehabilitation of Dupuytren's disease. Hand Clin . 1999 Feb. 15(1):167-74, viii. . Samargandi OA, Alyouha S, Larouche P, Corkum JP

2014 eMedicine.com

14. Dupuytren Contracture (Overview)

been reported. [ ] Previous Next: Patient Education Patients must have realistic expectations that surgery can relieve some disability but that it cannot cure Dupuytren disease. Discuss all potential complications of the procedure, including complex regional pain syndrome. In addition, intensive rehabilitation with an occupational therapist is necessary postoperatively for an optimal outcome. Previous References Verheyden CN. The history of Dupuytren's contracture. Clin Plast Surg . 1983 Oct. 10(4 (...) . Does a 'firebreak' full-thickness skin graft prevent recurrence after surgery for Dupuytren's contracture?: a prospective, randomised trial. J Bone Joint Surg Br . 2009 Mar. 91(3):374-8. . Villani F, Choughri H, Pelissier P. [Importance of skin graft in preventing recurrence of Dupuytren's contracture]. Chir Main . 2009 Dec. 28(6):349-51. . Mullins PA. Postsurgical rehabilitation of Dupuytren's disease. Hand Clin . 1999 Feb. 15(1):167-74, viii. . Samargandi OA, Alyouha S, Larouche P, Corkum JP

2014 eMedicine.com

15. Dupuytren Contracture (Overview)

been reported. [ ] Previous Next: Patient Education Patients must have realistic expectations that surgery can relieve some disability but that it cannot cure Dupuytren disease. Discuss all potential complications of the procedure, including complex regional pain syndrome. In addition, intensive rehabilitation with an occupational therapist is necessary postoperatively for an optimal outcome. Previous References Verheyden CN. The history of Dupuytren's contracture. Clin Plast Surg . 1983 Oct. 10(4 (...) . Does a 'firebreak' full-thickness skin graft prevent recurrence after surgery for Dupuytren's contracture?: a prospective, randomised trial. J Bone Joint Surg Br . 2009 Mar. 91(3):374-8. . Villani F, Choughri H, Pelissier P. [Importance of skin graft in preventing recurrence of Dupuytren's contracture]. Chir Main . 2009 Dec. 28(6):349-51. . Mullins PA. Postsurgical rehabilitation of Dupuytren's disease. Hand Clin . 1999 Feb. 15(1):167-74, viii. . Samargandi OA, Alyouha S, Larouche P, Corkum JP

2014 eMedicine.com

16. Dupuytren Contracture (Treatment)

frequently. [ ] Consultations Surgical intervention may be appropriate in more severe cases. Consider surgical consultation with one of the following specialists: Plastic surgeon Orthopedic hand surgeon Next: Rehabilitation Physical therapy Stretching with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. ROM exercises (...) with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. Range of motion (ROM) exercises should be performed several times a day. If the patient undergoes surgical correction of the contracture, physical therapy often is involved following the procedure. The postsurgical program consists of the following: Wound care Massage Passive

2014 eMedicine.com

17. Dupuytren Contracture (Treatment)

frequently. [ ] Consultations Surgical intervention may be appropriate in more severe cases. Consider surgical consultation with one of the following specialists: Plastic surgeon Orthopedic hand surgeon Next: Rehabilitation Physical therapy Stretching with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. ROM exercises (...) with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. Range of motion (ROM) exercises should be performed several times a day. If the patient undergoes surgical correction of the contracture, physical therapy often is involved following the procedure. The postsurgical program consists of the following: Wound care Massage Passive

2014 eMedicine.com

18. Dupuytren Contracture (Treatment)

frequently. [ ] Consultations Surgical intervention may be appropriate in more severe cases. Consider surgical consultation with one of the following specialists: Plastic surgeon Orthopedic hand surgeon Next: Rehabilitation Physical therapy Stretching with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. ROM exercises (...) with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. Range of motion (ROM) exercises should be performed several times a day. If the patient undergoes surgical correction of the contracture, physical therapy often is involved following the procedure. The postsurgical program consists of the following: Wound care Massage Passive

2014 eMedicine.com

19. Dupuytren Contracture (Follow-up)

frequently. [ ] Consultations Surgical intervention may be appropriate in more severe cases. Consider surgical consultation with one of the following specialists: Plastic surgeon Orthopedic hand surgeon Next: Rehabilitation Physical therapy Stretching with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. ROM exercises (...) with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. Range of motion (ROM) exercises should be performed several times a day. If the patient undergoes surgical correction of the contracture, physical therapy often is involved following the procedure. The postsurgical program consists of the following: Wound care Massage Passive

2014 eMedicine.com

20. Dupuytren Contracture (Follow-up)

frequently. [ ] Consultations Surgical intervention may be appropriate in more severe cases. Consider surgical consultation with one of the following specialists: Plastic surgeon Orthopedic hand surgeon Next: Rehabilitation Physical therapy Stretching with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. ROM exercises (...) with the application of heat and ultrasonographic waves may be helpful in the early stages of Dupuytren contracture. The physical therapist also may recommend that the patient wear a custom splint or brace to stretch the fingers further. Range of motion (ROM) exercises should be performed several times a day. If the patient undergoes surgical correction of the contracture, physical therapy often is involved following the procedure. The postsurgical program consists of the following: Wound care Massage Passive

2014 eMedicine.com

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