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Vom Knötchen bis zur Kontraktur

Morbus Dupuytren

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MMW - Fortschritte der Medizin Aims and scope

Die Dupuytrensche Kontraktur tritt am ehesten bei älteren Männern auf und ist die wohl am häufigsten gesehene Fibromatose. Die Diagnose erfolgt klinisch anhand tastbarer Knoten auf der Handfläche und/oder Fingerkontrakturen. Bekannt, wenn auch nicht ideal ist die operative Therapie. Neuerdings gibt es aber zusätzliche Optionen.

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Literatur(

  1. Brenner P, Krause-Bergmnn A, Van VH. Die Dupuytren Kontraktur in Norddeutschland. Epidemiologische Erfassungsstudie anhand von 500 Fällen. Unfallchirurg 2001;104:303–11.

    Article  PubMed  CAS  Google Scholar 

  2. Degeef I, de Smet L. A high prevalence of Dupuytren’s disease in Flanders. Acta Octop Belg 2010;76:316–20.

    Google Scholar 

  3. Stahl S, Calif E. Dupuytren’s palmar contracture in women. Isr Med Assoc J 2008;10:445–7.

    PubMed  Google Scholar 

  4. Schmidt HU, Lanz U. Die Palmaraponeurose. In Schmidt HU, Lanz U. Chirurgische Anatomie der Hand. Georg Thieme Verlag, Stuttgart, New York, 1992.

    Google Scholar 

  5. McFarlane RM. Pattern of diseased fascia in the fingers in Dupuytren’s contracture. Plast Reconstr Surg 1974;54:31.

    Article  PubMed  CAS  Google Scholar 

  6. Hueston JT. Dupuytren’s contracture: the trend to conservatism. Ann Roy Coll Surg Engl 1965;36:134–51.

    CAS  Google Scholar 

  7. Lennox IA, Murali SR, Porter R. A study of the repeatability of the diagnosis of Dupuytren’s contracture and its prevalance in the Grampian region. J Hand Surg 1993;18B:258–61.

    Google Scholar 

  8. Creteur V, Madani A, Gosset N. Ultrasound imaging of Dupuytren’s contracture. J Radiol 2010;91(6):687–91.

    Article  PubMed  CAS  Google Scholar 

  9. Elsahy NI. Doppler ultrasound detection of displaced neurovascular bundels in Dupuytren’s contracture. Plast Reconstr Surg 1976;57(1):104–5.

    Article  PubMed  CAS  Google Scholar 

  10. Lermusiaux JL, Debeyre N. Le traitement medical de la maladie de Dupuytren. In: De Seze S, Ryckewaert A, Kahn MF et al. (Eds). L’actualite rhumatologique. Expansion Scientifique, Paris, 1979, 338–343.

    Google Scholar 

  11. Eaton C. A technique for needle aponeurotomy for Dupuytren’s contracture. In: Eaton C et al. (Eds) Dupuytren’s disease and related hyperproliferative disorders. Springer-Verlag, Berlin, Heidelberg, 2012.

    Chapter  Google Scholar 

  12. van Rijssen AL, Ter Linden H, Werker PM. Five-year results of a randomized clinical trial on treatment in Dupuytren’s disease: percutaneous needle fasciotomy versus limited fasciectomy. Plast Reconstr Surg 2012;129(2):469–77.

    Article  PubMed  Google Scholar 

  13. van Rijssen AL, Gerbrandy FS, Ter Linden H, Klip H, Werker PM. A comparison of the direct outcomes of percutaneous needle fasciotomy and limited fasciectomy for Dupuytren’s disease: a 6-week follow-up study. J Hand Surg Am 2006;31(5):717–25.

    Article  PubMed  Google Scholar 

  14. Syed F, Thomas AN, Singh S, Kolluru V, Emeigh Hart SG, Bayat A. In vitro study of novel collagenase (Xiaflex(R)) on Dupuytren’s disease fibroblasts displays unique drug related properties. PLoS One 2012;7(2):e31430.

    Article  PubMed  CAS  Google Scholar 

  15. Hurst LC, Badalamente MA, Hentz VR, Hotchkiss RN, Kaplan FTD, Meals RA, Smith TM, Rodzvilla J, for the CORD I Study Group. Injectable collagenase clostridium histolyticum for Dupuytren’s contracture. N Engl J Med 2009;361:968–79.

    Article  PubMed  CAS  Google Scholar 

  16. Gilpin D, Coleman S, Hall S, Houston A, Karrasch J, Jones N. Injectable collagenase clostridium histolyticum: a new nonsurgical treatment for Dupuytren’s disease. J Hand Surg Am 2010;35(12):2027–38.

    Article  PubMed  Google Scholar 

  17. Zhang AY, Curtin CM, Hentz VR. Flexor tendon rupture after collagenase injection for Dupuytren contracture: case report. J Hand Surg Am 2011;36(8):1323–5.

    Article  PubMed  Google Scholar 

  18. Watt AJ, Curtin CM, Hentz VR. Collagenase injection as nonsurgical treatment of Dupuytren’s disease: 8-year follow-up. J Hand Surg Am 2010;35(4):534–9.

    Article  PubMed  Google Scholar 

  19. Knobloch K, Kühn M, Vogt PM. Patienten-orientierte Fragebögen als klinische Endpunkte bei Morbus Dupuytren. Plastische Chirurgie 2011;2:16–20.

    Google Scholar 

  20. Citron ND, Nunez V. Recurrence after surgery for Dupuytren’s disease: a randomized trial of two skin incisions. J Hand Surg Br 2005;30(6):563–6.

    Article  PubMed  CAS  Google Scholar 

  21. Howard K, Simison AJ, Morris A, Bhalaik V. A prospective randomised trial of absorbable sutures for wound closure after fasciectomy for Dupuytren’s contracture. J Hand Surg Eur Vol 2009;34(5):618–20.

    Article  PubMed  CAS  Google Scholar 

  22. Kemler MA, Houpt P, van der Horst CM. A pilot study assessing the effectiveness of postoperative splinting after limited fasciectomy for Dupuytren’s disease. J Hand Surg Eur Vol. 2012 Feb 6.

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  1. Heiligerstr. 3, D-30159, Hannover, Deutschland

    Karsten Knobloch (SportPraxis)

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  1. Karsten Knobloch
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Correspondence to Karsten Knobloch.

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Knobloch, K. Vom Knötchen bis zur Kontraktur. MMW - Fortschritte der Medizin 154, 37–41 (2012). https://doi.org/10.1007/s15006-012-1340-4

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  • DOI: https://doi.org/10.1007/s15006-012-1340-4

Keywords - From nodules to chords in Dupuytren’s contracture

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