Skip to main content

Perkutane Nadelaponeurotomie bei Dupuytren-Kontraktur

Percutaneous needle aponeurotomy for Dupuytren’s contracture

Der Orthopäde volume 46, pages 315–320 (2017)Cite this article

Zusammenfassung

Die Dupuytren-Kontraktur ist eine gutartige, fibroproliferative Erkrankung der Hohlhandaponeurose, die teilweise mit erheblichen funktionellen Einschränkungen für die Betroffenen einhergeht. Die limitierte Aponeurektomie ist als Primäreingriff der Referenzstandard. Aufgrund der Minimalinvasivität, der kürzeren Rekonvaleszenz und der niedrigen Komplikationsraten gewinnt die perkutane Nadelaponeurotomie in den letzten Jahren unter Berücksichtigung der spezifischen Indikationen zunehmend an Bedeutung.

Die Nadelaponeurotomie kann ambulant durchgeführt werden, ist kosteneffektiv und mit einem niedrigen Komplikationsrisiko verbunden. Die Rezidivrate ist im Vergleich zur limitierten Aponeurektomie höher. Unter Beachtung bestimmter Indikationen stellt sie eine Alternative dar.

Abstract

Dupuytren disease is a benign fibroproliferative disease of the palmar aponeurosis, which can cause considerable functional deficiencies for the person concerned. Partial aponeurectomy is the gold standard in primary surgery. Because it is minimally invasive and has short recovery and low complication rates, the importance of needle aponeurotomy under specific indications has been increasing in the last years. Needle aponeurotomy is a cost-effective treatment with low complication rates. The revision rate compared to partial aponeurectomy is higher. Under consideration of specified indications, needle aponeurotomy is an alternative treatment option.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

USD 39.95

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5

Literatur

  1. Desai SS, Hentz VR (2011) The treatment of Dupuytren disease. J Hand Surg Am 36:936–942

    Article  PubMed  Google Scholar 

  2. Foucher G, Medina J, Malizos K (2001) Percutaneous needle fasciotomy in dupuytren disease. Tech Hand Up Extrem Surg 5:161–164

    CAS  Article  PubMed  Google Scholar 

  3. Foucher G, Medina J, Navarro R (2003) Percutaneous needle aponeurotomy: complications and results. J Hand Surg Br 28:427–431

    CAS  Article  PubMed  Google Scholar 

  4. Geoghegan JM, Forbes J, Clark DI et al (2004) Dupuytren’s disease risk factors. J Hand Surg Br 29:423–426

    CAS  Article  PubMed  Google Scholar 

  5. Henry M (2014) Dupuytren’s disease: current state of the art. Hand (N Y) 9:1–8

    Article  Google Scholar 

  6. Herrera FA, Benhaim P, Suliman A et al (2013) Cost comparison of open fasciectomy versus percutaneous needle aponeurotomy for treatment of Dupuytren contracture. Ann Plast Surg 70:454–456

    CAS  Article  PubMed  Google Scholar 

  7. Hindocha S, Mcgrouther DA, Bayat A (2009) Epidemiological evaluation of Dupuytren’s disease incidence and prevalence rates in relation to etiology. Hand (N Y) 4:256–269

    Article  Google Scholar 

  8. Hohendorff B, Biber F, Sauer H et al (2016) Supplementary arthrolysis of the proximal interphalangeal joint of fingers in surgical treatment of Dupuytren’s contracture. Oper Orthop Traumatol 28:4–11

    CAS  Article  PubMed  Google Scholar 

  9. Hohendorff B, Spies CK, Muller LP et al (2016) Supplementary arthrolysis of the proximal interphalangeal finger joint in Dupuytren’s contracture: primary operation versus revision. Arch Orthop Trauma Surg 136:435–439

    Article  PubMed  Google Scholar 

  10. Hueston JT (1982) The table top test. Hand 14:100–103

    CAS  Article  PubMed  Google Scholar 

  11. Lanting R, Van Den Heuvel ER, Westerink B, Van Den Heuvel ER (2013) Prevalence of Dupuytren disease in the Netherlands. Plast Reconstr Surg 132:394–403

    CAS  Article  PubMed  Google Scholar 

  12. Lermusiaux JL, Debeyre N (1979) Le traitement médical de la maladie de Dupuytren. L’Actual Rheumatol: 3383–3343

  13. Maravic M, Beaudreuil J (2015) Impact on costs of switching one-ray aponeurectomy to percutaneous needle aponeurotomy in Dupuytren’s disease: A model analysis. Joint Bone Spine 82:264–266

    Article  PubMed  Google Scholar 

  14. Mcmillan C, Binhammer P (2014) Steroid injection and needle aponeurotomy for Dupuytren disease: long-term follow-up of a randomized controlled trial. J Hand Surg Am 39:1942–1947

    Article  PubMed  Google Scholar 

  15. Medjoub K, Jawad A (2014) The use of multiple needle fasciotomy in Dupuytren disease: retrospective observational study of outcome and patient satisfaction. Ann Plast Surg 72:417–422

    CAS  Article  PubMed  Google Scholar 

  16. Pereira A, Massada M, Sousa R et al (2012) Percutaneous needle fasciotomy in Dupuytren’s contracture: is it a viable technique? Acta Orthop Belg 78:30–34

    PubMed  Google Scholar 

  17. Pess GM, Pess RM, Pess RA (2012) Results of needle aponeurotomy for Dupuytren contracture in over 1,000 fingers. J Hand Surg Am 37:651–656

    Article  PubMed  Google Scholar 

  18. Sakellariou VI, Brault J, Rizzo M (2015) Ultrasound-assisted percutaneous needle Fasciotomy for Dupuytren’s contracture. Orthopedics 38:299–303

    Article  PubMed  Google Scholar 

  19. Spies CK, Hahn P, Muller LP et al (2016) The efficacy of open partial aponeurectomy for recurrent Dupuytren’s contracture. Arch Orthop Trauma Surg 136:881–889

    Article  PubMed  Google Scholar 

  20. Spies CK, Muller LP, Skouras E et al (2016) Percutaneous needle aponeurotomy for Dupuytren’s disease. Oper Orthop Traumatol 28:12–19

    CAS  Article  PubMed  Google Scholar 

  21. Uehara K, Miura T, Morizaki Y et al (2013) Ultrasonographic evaluation of displaced neurovascular bundle in Dupuytren disease. J Hand Surg Am 38:23–28

    Article  PubMed  Google Scholar 

  22. Van Rijssen AL, Werker PM (2006) Percutaneous needle fasciotomy in dupuytren’s disease. J Hand Surg Br 31:498–501

    Article  PubMed  Google Scholar 

  23. Van Rijssen AL, Werker PM (2012) Percutaneous needle fasciotomy for recurrent Dupuytren disease. J Hand Surg Am 37:1820–1823

    Article  PubMed  Google Scholar 

  24. Van Rijssen AL, Ter Linden H, Werker PM (2012) Five-year results of a randomized clinical trial on treatment in Dupuytren’s disease: percutaneous needle fasciotomy versus limited fasciectomy. Plast Reconstr Surg 129:469–477

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universität zu Köln, Köln, Deutschland

    J. Oppermann & L. P. Müller

  2. Abteilung für Handchirurgie, Vulpius Klinik Bad Rappenau, Vulpiusstraße 29, 70906, Bad Rappenau, Deutschland

    F. Unglaub, P. Hahn &  C. K. Spies

  3. Medizinische Fakultät Mannheim, Universität Heidelberg, Mannheim, Deutschland

    F. Unglaub

  4. Sektion Handchirurgie Klinik für Orthopädie und Unfallchirurgie, Caritas Krankenhaus Bad Mergentheim, Bad Mergentheim, Deutschland

    S. Löw

Authors
  1. J. Oppermann
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. F. Unglaub
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. L. P. Müller
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Löw
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. P. Hahn
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C. K. Spies
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. K. Spies.

Ethics declarations

Interessenkonflikt

J. Oppermann, F. Unglaub, L. P. Müller, S. Löw, P. Hahn und C. K. Spies geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Oppermann, J., Unglaub, F., Müller, L.P. et al. Perkutane Nadelaponeurotomie bei Dupuytren-Kontraktur. Orthopäde 46, 315–320 (2017). https://doi.org/10.1007/s00132-017-3388-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00132-017-3388-4

Schlüsselwörter

  • Faszie
  • Gesundheitskosten
  • Hand
  • Orthopädisch-chirurgisches Verfahren
  • Palmarfibromatose

Keywords

  • Fascia
  • Healthcare costs
  • Hand
  • Orthopedic surgical procedures
  • Fibromatosis, palmar