Abstract
Dupuytren’s disease has been recognized for approximately four centuries. A thorough knowledge of the palmar fascial complex anatomy is imperative for understanding Dupuytren disease pathology. Its presentation, although seemingly constant, is actually variable, depending on the structures involved. Dorsal skin changes in Dupuytren disease are a source of confusion. These can be either in the form of dorsal Dupuytren’s nodules, which are similar to palmar nodules and pathognomonic of the disease or dorsal cutaneous pads, which are encountered equally in Dupuytren disease and in the normal population. There are also two distinct clinical entities associated with palmar fascial proliferation, classic Dupuytren disease and atypical, so-called non-Dupuytren disease. These two types differ in presentation, etiology, treatment, and prognosis. Authors of future epidemiological and outcome studies should not confuse these two clinical entities.
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References
Barton N (1984) Dupuytren’s disease arising from the abductor digiti minimi. J Hand Surg 9B:265–270
Bilderback KK, Rayan GM (2002) Dupuytren’s cord involving the septa of Legueu and Juvara: a case report. J Hand Surg 27A:344–346
Bilderback KK, Rayan GM (2004) The septa of Legueu and Juvara: an anatomic study. J Hand Surg Am 29(3):494–499
Boyes J, Jones F (1967) Dupuytren’s disease involving the volar aspect of the wrist. Plast Reconstr Surg 41:204–207
Bunnel S (1944) Surgery of the hand. Lippincott Company, Philadelphia, p 613
Classen D, Hurst L (1992) Plantar fibromatosis and bilateral flexion contractures: a review of the literature. Ann Plast Surg 28:475–478
Donato R, Morrison W (1996) Dupuytren’s disease in feet causing flexion contracture in the toes. J Hand Surg 21B:364–366
Garrod A (1904) Concerning pads upon the finger joints and their clinical relationships. Br Med J 2:8
Gosset J (1985) Dupuytren’s disease and the anatomy of the palmodigital aponeurosis. In: Hueston JT, Tubiana R (eds) Dupuytren’s disease, 2nd edn. Churchill Livingstone, Edinburgh, pp 13–16
Grapow M (1887) Die Anatomie und physiologische Bedeutung der Palmaraponeurose. In: Archiv für Anatomie und Physiologie. Anatomische Abtheilung, Leipzig, pp 2–3, 143–158
Hueston J (1982) Dorsal Dupuytren’s disease. J Hand Surg 7A:384–387
Legueu F, Juvara E (1892) Des aponeurosis de la paume de la main. Bull Soc Anat (Paris) 5 serie T. IV:67
Luck JV (1959) Dupuytren’s contracture: a new concept of the pathogenesis correlated with surgical management. J Bone Joint Surg Am 41:635–664
McFarlane RM (1974) Patterns of the diseased fascia in the fingers of Dupuytren’s contracture. Plast Reconstr Surg 54:31–44
McFarlane RM (1985) The anatomy of Dupuytren’s disease. In: Hueston JT, Tubiana R (eds) Dupuytren’s disease. Churchill Livingstone, Edinburgh, pp 54–71
McFarlane R (1990) The finger. In: McFarlane R, McGrouther D, Flint M (eds) Dupuytren’s disease biology and treatment. Churchill Livingstone, Edinburgh, pp 155–167
McFarlane R, Botz J, Cheung H (1990) Epidemiology of surgical patients. In: McFarlane R, McGrouther D, Flint M (eds) Dupuytren’s disease biology and treatment. Churchill Livingstone, Edinburgh, pp 201–238
McGrouther D (1982) The microanatomy of Dupuytren’s contracture. Hand 14:215–36
Okano M (1992) Dupuytren’s contracture (palmar fibromatosis) extending over the arm. Acta Derm Venereol 72(2):381–382
Rayan G (1999a) Palmar fascial complex anatomy and pathology in Dupuytren’s disease. Hand Clin 15:73–86
Rayan G (1999b) Clinical presentation and types of Dupuytren’s disease. Hand Clin 15:87–96
Rayan G (2010) Dupuytren’s disease. In: Trumble T, Rayan G, Budoff J, Baratz M (eds) Principles of hand surgery and therapy. Elsevier, Philadelphia, pp 403–412
Rayan G, Ali M (2010) Dorsal pads versus nodules in normal population and Dupuytren’s disease patients. J Hand Surg 35A:1571–1579
Rayan G, Moore J (2005) Non-Dupuytren’s disease of the palmar fascia. J Hand Surg Br 30:551–556
Rayan G, Murray D, Chung K, Rohrer M (1997) The extensor retinacular system at the metacarpophalangeal joint. Anatomical and histological study. J Hand Surg 22B:585–590
Simons A, Srivastava S, Nancarrow J (1996) Dupuytren’s disease affecting the wrist. J Hand Surg 21B:367–368
Sinha A (1997) Dupuytren’s disease may extend beyond the wrist crease in continuity. J Bone Joint Surg 79B:211–212
Thomine JM (1985) The development and anatomy of the digital fascia. In: Hueston JT, Tubiana R (eds) Dupuytren’s disease. Churchill Livingstone, Edinburgh, pp 3–12
Tubiana R, Simmons B, DeFrenne H (1982) Location of Dupuytren’s disease on the radial aspect of the hand. Clin Orthop Relat Res 168:222–229
Ulmas M, Bischoff R, Gelberman R (1994) Predictors of neurovascular displacement in hands with Dupuytren’s contracture. J Hand Surg 19B:644–666
Wheeler E, Meals R (1981) Dupuytren’s diathesis: a broad spectrum disease. Plast Reconstr Surg 68:781–783
White S (1984) Anatomy of the palmar fascia on the ulnar border of the band. J Hand Surg 9B:50–56
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Rayan, G.M. (2012). Dupuytren’s Disease: Anatomy, Pathology, and Presentation. In: Eaton, C., Seegenschmiedt, M., Bayat, A., Gabbiani, G., Werker, P., Wach, W. (eds) Dupuytren’s Disease and Related Hyperproliferative Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-22697-7_1
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