Complications Following Surgical Treatment for Dupuytren's Contracture

Prosser, Rosemary; Conolly, W. Bruce

doi:10.1016/s0894-1130(96)80040-8

Cited by 45 publications

(26 citation statements)

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“…Reflex sympathetic dystrophy (complex regional pain syndrome type 2) occurred in 6 patients, 5 of whom were in groups 2c, d, and e, but these generally were mild and all cases resolved without any secondary changes such as bone demineralization, pseudomotor and trophic changes, vasomotor instability, and fibromatosis. 10 The hand therapists treated these patients with mobilization and splinting until the symptoms had resolved. None required guanethidine blocks or drug therapy.…”

Section: Resultsmentioning

confidence: 99%

The Complications of Dupuytren’s Contracture Surgery

Bulstrode

Jemec

Smith

2005

The Journal of Hand Surgery

120

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Section: Resultsmentioning

confidence: 99%

The Complications of Dupuytren’s Contracture Surgery

Bulstrode

Jemec

Smith

2005

The Journal of Hand Surgery

120

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“…We used descriptive statistics for demographic data and sample characteristics, and Fisher exact and ttests for identifying differences between subgroups regarding sample characteristics. We summed and averaged rating of safety issues (question 1-3) and social issues (question [4][5] before surgery and compared them with Wilcoxon signed rank test. For ROM, the DASH, and EQ-5D we used a 1-way full-factorial repeated measures analysis of variance with surgery on 1 or multiple fingers as a between-subjects factor.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment does not cure the disease, and recurrence is common (2,3). Possible adverse effects of surgery are vascular or nerve damage, delayed wound healing, scar problems, infection, swelling, complex regional pain syndrome, and loss of finger flexion (4)(5)(6). Some surgeons recommend postoperative hand therapy (7)(8)(9), and according to clinical experience, recovery after surgery takes in general 3 to 6 months (8).…”

Section: Introductionmentioning

confidence: 99%

“…Few studies report assessment of sensibility before and after surgery (20), though 1 study using the Semmes-Weinstein monofilaments report diminished light touch and protective sensation after surgery (17). Scar contracture is another potential complication after surgery (5,6) and should be distinguished from recurrence, i.e. the development of new DD tissue in the operated area (1).…”

Section: Introductionmentioning

confidence: 99%

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Hand Function and Quality of Life Before and After Fasciectomy for Dupuytren Contracture

Engstrand¹,

Krevers²,

Nylander³

et al. 2014

The Journal of Hand Surgery

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PurposeTo describe changes in joint motion, sensibility, and scar pliability and to investigate the patients' expectations, self-reported recovery, and satisfaction with hand function, disability, and quality of life after surgery and hand therapy for Dupuytren disease. MethodsThis prospective cohort study collected measurements before surgery and 3, 6, and 12 months after surgery and hand therapy. Ninety patients with total active extension deficits of 60 degrees or more from Dupuytren contracture were included. Outcomes measures were range of motion, sensibility, scar pliability, self-reported outcomes on expectations, recovery, and satisfaction with hand function, Disabilities of the Arm, Shoulder, and Hand scores, safety and social issues of hand function, physical activity habits, and quality of life with the Euroqol. ResultsThe extension deficit decreased, and there was a transient decrease in active finger flexion during the first year after surgery. Sensibility remained unaffected. Generally, patients with surgery on multiple fingers had worse scar pliability. The majority of the patients had their expectations met, and at 6 months 32% considered hand function as fully recovered, and 73%were satisfied with their hand function. Fear of hurting the hand and worry about not trusting the hand function were of greatest concern among safety and social issues. The Disability of the Arm, Shoulder and Hand score and the Euroqol improved over time. 2 ConclusionAfter surgery and hand therapy, disability decreased independent of single or multiple operated fingers. The total active finger extension improved enough for the patients to reach a functional range of motion despite an impairment of active finger flexion still present 12 months after treatment.

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“…Typically it follows minor injury or surgery. 12 RSD in the upper limb is reported following carpal tunnel release (whether performed endoscopically 13,14 or operatively 15 ), Dupytrens repair 16,17 and other tendon release procedures. 18 RSD in the lower limb is a recognized complication of knee surgeryÐincluding tibial osteotomy 19,20 and arthroplasty 21 where it is associated with a poor prognosis.…”

Section: What Triggers Rsd?mentioning

confidence: 99%

Reflex sympathetic dystrophy--a complex regional pain syndrome

Turner-Stokes

2002

Disability and Rehabilitation

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Reflex sympathetic dystrophy (RSD) is a complex and poorly-understood condition characterized by: (a) pain and altered sensation; (b) motor disturbance and soft tissue change; (c) vasomotor and autonomic changes; and (d) psychosocial disturbance. Neurological symptoms typically do not conform to any particular pattern of nerve damage. Many different names have been ascribed to this condition and most recently the term 'complex regional pain syndrome' has been coined to emphasize the complex interaction of somatic, psychological and behavioural factors. Diagnostic criteria have been proposed by the International Association for the Study of Pain, but are still subject to debate. This review article describes the clinical features which may present as part of the condition, and the patho-physiology and pre-disposing factors so far identified. The evidence for effectiveness of different interventions is presented and a treatment approach outlined for inter-disciplinary management. While RSD is traditionally associated with pain in the extremities, the possibility is raised that the same process may underlie chronic pain syndromes affecting more central structures, such as testicular or pelvic pain.

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Complications Following Surgical Treatment for Dupuytren's Contracture

Cited by 45 publications

References 1 publication

The Complications of Dupuytren’s Contracture Surgery

The Complications of Dupuytren’s Contracture Surgery

Hand Function and Quality of Life Before and After Fasciectomy for Dupuytren Contracture

Reflex sympathetic dystrophy--a complex regional pain syndrome

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