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1. Dupuytren disease: European hand surgeons, hand therapists, and physical medicine and rehabilitation physicians agree on a multidisciplinary treatment guideline: results from the HANDGUIDE study. Full Text available with Trip Pro

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

2. Radiation therapy for early Dupuytren's disease

Radiation therapy for early Dupuytren's disease Radiation ther Radiation therap apy for early Dupuytren y for early Dupuytren's disease 's disease Interventional procedures guidance Published: 21 December 2016 nice.org.uk/guidance/ipg573 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully (...) . Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. This guidance replaces IPG368. 1 1 Recommendations Recommendations 1.1 The evidence on radiation therapy for early Dupuytren's disease raises no major safety

2017 National Institute for Health and Clinical Excellence - Interventional Procedures

3. Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report. Full Text available with Trip Pro

Radial extracorporeal shock wave therapy: a novel approach for the treatment of Dupuytren's contractures: A case report. While the efficacy of focused Extracorporeal Shock Wave Therapy (ESWT) in the treatment of Dupuytren's disease (DD) is supported by one positive trial, the effects of radial ESWT is unclear.A 79-year-old man with a 4-year history of impairment of left-hand function and pain due to DD with weakness and flexion deformities of middle and ring fingers. He has not been treated (...) and an improvement of daily living performance. The effects continued at the 4-months follow-up.This case report demonstrates the feasibility of radial ESWT. Radial ESWT sessions may be carried out by a physiotherapist in outpatient clinics with cost reduction compared with surgical treatment and focused ESWT. Radial ESWT is a non-invasive, well tolerated therapy, so it should be considered in the DD treatment.

2020 Medicine

4. Percutaneous Needle Fasciotomy Versus Collagenase Treatment for Dupuytren Contracture: A Randomized Controlled Trial with a Two-Year Follow-up Full Text available with Trip Pro

Percutaneous Needle Fasciotomy Versus Collagenase Treatment for Dupuytren Contracture: A Randomized Controlled Trial with a Two-Year Follow-up Local disruption of the cord that causes contracture of the finger in Dupuytren disease can be achieved either through mechanical division by percutaneous needle fasciotomy (PNF) or through enzymatic digestion by injectable collagenase Clostridium histolyticum (CCH). This study was designed to compare clinical and patient-reported outcomes between (...) patients who had been treated with each method.A prospective, randomized, single-blinded, controlled trial was designed and included 156 patients with a contracture of the metacarpophalangeal (MCP) joint of ≥20°. The patients were allocated to treatment with either PNF or CCH. The primary outcome was a reduction of the MCP contracture to <5°. Secondary outcomes included the reduction of any concomitant contracture of the proximal interphalangeal (PIP) joint, the presence of Dupuytren cords, and changes

2018 EvidenceUpdates Controlled trial quality: uncertain

5. Hand therapy or not following collagenase treatment for Dupuytren's contracture? Protocol for a randomised controlled trial. Full Text available with Trip Pro

Hand therapy or not following collagenase treatment for Dupuytren's contracture? Protocol for a randomised controlled trial. Dupuytren's contracture (DC) is a fibrotic hand condition in which one or more fingers develop progressive flexion deformities. Quality of life is diminished due to disabling limitations in performing everyday activities. For DC patients treated with collagenase, referral for subsequent hand therapy is inconsistent. It is unknown whether subsequent hand therapy (...) interphalangeal joint(s) (PIPJ) involvement (hand therapy, n = 40; control, n = 40) comprise two subgroups, and we will study if the treatment effect will be different between both groups (n = 160). Patients with a previous injury or treatment for DC in the treatment finger are excluded. Hand therapy includes oedema and scar management, splinting, movement exercises, and practice of everyday activities. The main outcome variable is patients' performance of and satisfaction with performing everyday activities

2019 BMC Musculoskeletal Disorders Controlled trial quality: predicted high

6. Hand Therapy or Not Following Collagenase Treatment for Dupuytren's Contracture?

Data (IPD) Sharing Statement: Plan to Share IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by Haukeland University Hospital: Occupational Therapy Physical Therapy Hand Therapy ADL COPM URAM ROM Hand exercise Scar Oedema Splint Orthosis Additional relevant MeSH terms: Layout table for MeSH terms Contracture Dupuytren Contracture Joint Diseases Musculoskeletal Diseases Muscular Diseases (...) 40 participants With Dupuytren's contracture with the proximal interphalangeal joint involved, receiving hand therapy after collagenase injection and extension treatment. Hand therapy: edema control, wound and scar treatment, splinting, exercises for hand, exercise through activities of daily living. Possible additional splint and exercises specifically for the PIPJ extension. Other: Hand therapy PIPJ affected Prevention of oedema, treatment of scar, splinting to maintain or improve extension

2018 Clinical Trials

7. Music Therapy for Rehabilitation in Stroke Patients

arpeggio with also a volume crescendo and decrescendo. With the second mode, the movement modulates the volume and the low-pass cutoff frequency of a synthetic texture. STANDARD REHAB The rehabilitative standard intervention (Occupational Therapy) consists of 15 minutes of warm-up exercises plus a 20 minutes training for 4 weeks (daily) Other: STANDARD REHAB The rehabilitative standard intervention (Occupational Therapy) consists of 15 minutes of warm-up exercises plus a 20 minutes training (...) . Condition or disease Intervention/treatment Phase Stroke Hand Injuries Other: STANDARD REHAB Device: SONICHAND Not Applicable Study Design Go to Layout table for study information Study Type : Interventional (Clinical Trial) Estimated Enrollment : 66 participants Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Outcomes Assessor) Primary Purpose: Treatment Official Title: Hand Rehabilitation With Music Therapy Technique (Sonification) and Leap Motion Controller in Stroke

2017 Clinical Trials

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

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 Controlled trial quality: uncertain

9. Collagenase Treatment in Dupuytren Contractures: A Review of the Current State Versus Future Needs Full Text available with Trip Pro

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

2016 Rheumatology and therapy

10. Comparison of Treatment Outcome After Collagenase and Needle Fasciotomy for Dupuytren Contracture: A Randomized, Single-Blinded, Clinical Trial With a 1-Year Follow-Up. (Abstract)

Comparison of Treatment Outcome After Collagenase and Needle Fasciotomy for Dupuytren Contracture: A Randomized, Single-Blinded, Clinical Trial With a 1-Year Follow-Up. This study compared the efficacy of collagenase treatment and needle fasciotomy for contracture of the metacarpophalangeal (MCP) joint in Dupuytren disease.This is a prospective, single-blinded, randomized study with follow-up 1 week and 1 year after treatment. One hundred and forty patients with an MCP contracture of 20 (...) ° or more in a single finger were enrolled, of whom 69 patients were randomized to collagenase treatment and 71 patients to needle fasciotomy. The patients were followed at 1 week and were examined by a physiotherapist after 1 year. Measurements of joint movement and grip strength were recorded as well as patient-perceived outcomes measured by the Unité Rhumatologique des Affections de la Main (URAM) questionnaire and a visual analog scale (VAS) for the estimation of procedural pain and subjective

2016 Journal of Hand Surgery - American Controlled trial quality: uncertain

11. Construct validity of the canadian occupational performance measure in participants with tendon injury and dupuytren disease. Full Text available with Trip Pro

[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.

2015 Physical therapy

12. Hand function and quality of life before and after fasciectomy for dupuytren contracture. Full Text available with Trip Pro

Hand function and quality of life before and after fasciectomy for dupuytren contracture. To describe changes in joint motion, sensibility, and scar pliability and to investigate the patients' expectations, self-reported recovery, and satisfaction with hand function, disability, and quality of life after surgery and hand therapy for Dupuytren disease.This prospective cohort study collected measurements before surgery and 3, 6, and 12 months after surgery and hand therapy. Ninety patients (...) with total active extension deficits of 60° or more from Dupuytren contracture were included. Outcomes measures were range of motion; sensibility; scar pliability; self-reported outcomes on expectations, recovery, and satisfaction with hand function; Disabilities of the Arm, Shoulder, and Hand scores; safety and social issues of hand function; physical activity habits; and quality of life with the Euroqol.The extension deficit decreased, and there was a transient decrease in active finger flexion during

2014 Journal of Hand Surgery - American

13. Dupuytren Contracture (Overview)

: Nothing to disclose. Evan R Farmer, MD Clinical Professor of Pathology and Dermatology, Department of Pathology, Virginia Commonwealth University School of Medicine Evan R Farmer, MD is a member of the following medical societies: , , , , and Disclosure: Nothing to disclose. Patrick M Foye, MD Associate Professor of Physical Medicine and Rehabilitation, Co-Director of Musculoskeletal Fellowship, Co-Director of Back Pain Clinic, Director of Coccyx Pain Service (Tailbone Pain Service (...) Etiology and Epidemiology. [ ] Other potential risk factors include manual labor with vibration exposure, prior hand trauma, alcoholism, smoking, diabetes mellitus, hyperlipidemia, Peyronie disease, and complex regional pain syndrome. [ ] Rheumatoid arthritis seems to protect against the development of Dupuytren disease. See Etiology. Therapies include conservative medical and surgical modalities. Although the condition is not fatal, significant morbidity can occur if patients are untreated. See

2014 eMedicine.com

14. Dupuytren Contracture (Overview)

: Nothing to disclose. Evan R Farmer, MD Clinical Professor of Pathology and Dermatology, Department of Pathology, Virginia Commonwealth University School of Medicine Evan R Farmer, MD is a member of the following medical societies: , , , , and Disclosure: Nothing to disclose. Patrick M Foye, MD Associate Professor of Physical Medicine and Rehabilitation, Co-Director of Musculoskeletal Fellowship, Co-Director of Back Pain Clinic, Director of Coccyx Pain Service (Tailbone Pain Service (...) Etiology and Epidemiology. [ ] Other potential risk factors include manual labor with vibration exposure, prior hand trauma, alcoholism, smoking, diabetes mellitus, hyperlipidemia, Peyronie disease, and complex regional pain syndrome. [ ] Rheumatoid arthritis seems to protect against the development of Dupuytren disease. See Etiology. Therapies include conservative medical and surgical modalities. Although the condition is not fatal, significant morbidity can occur if patients are untreated. See

2014 eMedicine.com

15. Dupuytren Contracture (Overview)

: Nothing to disclose. Evan R Farmer, MD Clinical Professor of Pathology and Dermatology, Department of Pathology, Virginia Commonwealth University School of Medicine Evan R Farmer, MD is a member of the following medical societies: , , , , and Disclosure: Nothing to disclose. Patrick M Foye, MD Associate Professor of Physical Medicine and Rehabilitation, Co-Director of Musculoskeletal Fellowship, Co-Director of Back Pain Clinic, Director of Coccyx Pain Service (Tailbone Pain Service (...) Etiology and Epidemiology. [ ] Other potential risk factors include manual labor with vibration exposure, prior hand trauma, alcoholism, smoking, diabetes mellitus, hyperlipidemia, Peyronie disease, and complex regional pain syndrome. [ ] Rheumatoid arthritis seems to protect against the development of Dupuytren disease. See Etiology. Therapies include conservative medical and surgical modalities. Although the condition is not fatal, significant morbidity can occur if patients are untreated. See

2014 eMedicine.com

16. Hand, Dupuytren Disease

: Nothing to disclose. Evan R Farmer, MD Clinical Professor of Pathology and Dermatology, Department of Pathology, Virginia Commonwealth University School of Medicine Evan R Farmer, MD is a member of the following medical societies: , , , , and Disclosure: Nothing to disclose. Patrick M Foye, MD Associate Professor of Physical Medicine and Rehabilitation, Co-Director of Musculoskeletal Fellowship, Co-Director of Back Pain Clinic, Director of Coccyx Pain Service (Tailbone Pain Service (...) Etiology and Epidemiology. [ ] Other potential risk factors include manual labor with vibration exposure, prior hand trauma, alcoholism, smoking, diabetes mellitus, hyperlipidemia, Peyronie disease, and complex regional pain syndrome. [ ] Rheumatoid arthritis seems to protect against the development of Dupuytren disease. See Etiology. Therapies include conservative medical and surgical modalities. Although the condition is not fatal, significant morbidity can occur if patients are untreated. See

2014 eMedicine Surgery

17. 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

18. 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

19. Dupuytren Contracture (Treatment)

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

20. Dupuytren Contracture (Overview)

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

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