Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- male >40 years of age
- difficulties with manual activities
- palmar nodule
- palmar skin changes
- pretendinous cords
- MCP joint contracture
- proximal interphalangeal (PIP) joint contracture
- positive Hueston table-top test
Другие диагностические факторы
- bilateral involvement
- Garrod nodes
- involvement of plantar surface of the feet
- involvement of penis
Факторы риска
- male sex
- age >40 years
- family history
- diabetes mellitus
- high alcohol intake
- smoking
- trauma
- anticonvulsant medication
Диагностические исследования
Исследования, проведение которых нужно рассмотреть
- ultrasound of hand
Алгоритм лечения
no MCP joint or PIP joint contracture
≤30 degrees MCP joint contracture with no PIP joint contracture
>30 degrees MCP joint contracture and/or PIP joint contracture
Составители
Авторы
Craig M. Rodner, MD
Assistant Professor
Department of Orthopaedic Surgery
University of Connecticut Health Center/New England Musculoskeletal Institute
Farmington
CT
Раскрытие информации
CMR declares that he has no competing interests.
Выражение благодарностей
Dr Craig M. Rodner would like to gratefully acknowledge Dr Thomas H. Trojian and Dr Daniel M. Avery, both previous contributors to this topic. THT and DMA declare that they have no competing interests.
Рецензенты
Carlos Wigderowitz, MD, PhD, FRCSEd
Senior Clinical Lecturer in Orthopaedic and Trauma Surgery
Department of Orthopaedics and Trauma Surgery
TORT Centre
Ninewells Hospital
Dundee
UK
Раскрытие информации
CW declares that he has no competing interests.
Bill Townley, MD
Specialist Registrar
Plastic Surgery
Salisbury District Hospital
Salisbury
UK
Раскрытие информации
BT is an author of a reference cited in this topic.
Zhongyu Li, MD
Assistant Professor
Orthopaedics
Wake Forest University Baptist Medical Center
Winston-Salem
NC
Раскрытие информации
ZL declares that he has no competing interests.
Список литературы
Основные статьи
Karbowiak M, Holme T, Khan K, et al. Dupuytren's disease. BMJ. 2021 Jun 4;373:n1308. Аннотация
Boe C, Blazar P, Iannuzzi N. Dupuytren contractures: an update of recent literature. J Hand Surg Am. 2021 Oct;46(10):896-906.Полный текст Аннотация
Ketchum LD, Donahue TK. The injection of nodules of Dupuytren's disease with triamcinolone acetonide. J Hand Surg Am. 2000 Nov;25(6):1157-62. Аннотация
Badalamente MA, Hurst LC. Efficacy and safety of injectable mixed collagenase subtypes in the treatment of Dupuytren's contracture. J Hand Surg Am. 2007 Jul-Aug;32(6):767-74. Аннотация
Hurst LC, Badalamente MA, Hentz VR, et al. Injectable collagenase clostridium histolyticum for Dupuytren's contracture. N Engl J Med. 2009 Sep 3;361(10):968-79.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Trigger finger
- Epithelioid sarcoma
- Camptodactyly
Больше ОтличияРекомендации
- Dutch multidisciplinary guideline on Dupuytren disease
Больше Рекомендации
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