| Sign In to gain access to subscriptions and/or personal tools. |
Dupuytrens Disease Following Acute Injury in Japanese Patients: Dupuytrens Disease or Not?From the Chiba Hand Surgery Institute, Sakura Orthopaedic Hospital, Japan, the Department of Orthopedic Surgery, Chiba Municipal Aoba Hospital, Japan and the Department of Orthopedic Surgery, Graduate School of Medicine, Chiba University, Sakura City, Chiba, Japan Correspondence: Dr Yoshihiro Abe, MD, Chiba Hand Surgery Institute, Sakura Orthopaedic Hospital, Sakura City, Chiba, Japan 4-3-5, Osakidai, 285 0817, Japan. Tel.: +81 43 483 2552; fax: +81 43 483 2551. E-mail:abe-yosh{at}pk9.so-net.ne.jp This paper reports the development of Dupuytrens disease following acute injury in 16 hands in 14 Japanese patients. The patients included six women and eight men. Five patients developed disease following trauma, one following infection and eight following elective surgery. In the present series, the patient age and sex are irrelevant. The disease was unilateral, confined to a single digital ray, and without ectopic lesions in most cases. Disease presented predominantly in the ring or middle finger rays. There were only three patients who underwent surgery for definite flexion contracture. Diabetes mellitus was the most frequently associated risk factor. Our results suggest that Dupuytrens disease following acute injury could be considered a separate entity from typical Dupuytrens disease. At present, we believe that this condition should be considered a subtype of Dupuytrens disease.
Key Words: dupuytrens disease acute injury Japanese
Journal of Hand Surgery (European Volume), Vol. 32, No. 5,
569-572 (2007) |
||||