Dupuytren's disease: A reality in Black Africa

Coulibaly, N.F.; Doumbia, M.M.; Dembelé, Bamory; Día, Rokhaya; Fall, M; Sané, A.; Diémé, C

doi:10.1016/j.hansur.2020.04.005

Cited by 4 publications

(3 citation statements)

References 23 publications

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“…In 14 cases, the disorder was bilateral. The early types are more prevalent, and the lesions are long-lastingly stable 20 Most of the participants 13(35%) with age group between 51 and 60 were suffering from Dupuytren's. (p=<0.01).While another study concluded that the average age was 57 years (range 21-79).…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Dupuytren’s and Sociodemographic Factors Related to it Among Chronic Diabetic Patients

Kalsoom¹,

Iftikhar²,

Islam³

et al. 2023

PJMHS

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Background: Dupuytren’s disease(DD) is characterized by progressive idiopathic fibrosis of the hand palm and the formation of nodules & contractures. Its prevalence ranges from 3 to 42% worldwide. Aim: To assess Dupuytren’s disease’s prevalence, severity and its association with different demographic factors. Study design: Analytical, Cross-sectional study done using Non-probability convenient sampling. Method: This study was conducted on 424 diabetic patients of age between 40 and 80. A questionnaire was used to assess different sociodemographic factors among them. Tubiana classification & tabletop test was used to assess the severity of the disease. Chi-square test was applied to find out the p-value for the association between variables. Results: About 9% of total participants were affected by DD. Most of the affected people were in the nodular stage or stage 1.There was a significant relationship found between DD and different factors like age group (p=<0.01),Family history of DD(p=<0.01), and previous hand injury (p=<0.01) Practical implication: This study provides us the baseline risk factors leading to the disease for better future interventions. Treatments gets easier when we reach the cause. Because nowadays the widely available treatment is surgical excision which is not a good option for everyone. Also there is a dearth of research on this emerging hand disability caused by diabetes that’s why this research is being conducted Conclusions: The results showed high prevalence of DD in diabetic patients with old age, positive family history of DD disease and previous hand injury. Therapeutic studies are required for the betterment of society and to prevent the disease from causing disability. Keywords: Contractures, Dupuytren’s disease, Dupuytren’s nodules, diabetes, personal factors, Family history.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of Dupuytren’s and Sociodemographic Factors Related to it Among Chronic Diabetic Patients

Kalsoom¹,

Iftikhar²,

Islam³

et al. 2023

PJMHS

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“…По данным центров хирургии кисти Великобритании, встречаемость контрактуры Дюпюитрена составляет 32,5 на 100 000 населения в год [11], в Германии составляет 20% от всех заболеваний кисти, в России -11,8%, во Франции -8,8%, а в США -всего 2-3% [12]. Наибольшая распространенность данной патологии наблюдается в Скандинавии, где достигает 46% в группе лиц старше 60 лет [13], а наименьшая встречаемость обнаружена среди лиц африканского и азиатского происхождения [13,14,15,16,17]. Столь широкий диапазон значений в основном зависит от этнической принадлежности, пола и возраста пациентов.…”

Section: эпидемиология и социальная значимостьunclassified

Skin Closure After Subtotal Aponeurectomy in Severe Dupuytren’s Contracture: Review

Idrisov¹,

Rodomanova

2022

Traumatology and Orthopedics of Russia

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Introduction. One of the significant problems of surgical treatment of Dupuytren's contracture is a deficiency of the skin as a result of suturing the wound after subtotal aponeurectomy. The size of the defect depends on the severity of the pathology. In the early stages of the disease, Z-plasty is widely used, but this method of plastic replacement does not completely cover the defect formed after surgical treatment of contracture of III-IV severity, especially when several fingers of the hand are lesioned. The purpose of the study. The purpose of the review is a comparative analysis of methods of plastic replacement of skin deficiency after subtotal aponeurectomy in patients with III-IV degree of severity of Dupuytren's contracture. Various tactics of treatment of this category of patients are described, including distraction elimination of contracture and further aponeurectomy, as well as various methods of plastic replacement of skin defects formed after resection of altered areas of palmar aponeurosis and elimination of contracture. Each of the proposed methods of surgical treatment has its advantages and disadvantages. Conclusions. An analysis of the relevant scientific literature has shown that the most common method of eliminating soft tissue deficiency after aponeurectomy is Z-plasty. However, due to an increase in the severity of the disease, its effectiveness decreases. To date, there is no consensus regarding the approach to the altered site of aponeurosis and there is no single method for eliminating tissue deficiency in the III-IV degree of the disease.

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“…Der Morbus Dupuytren (MD) ist eine genetische Störung, die vor allem in der nordeuropäischen Bevölkerung auftritt 1 . In der Population mit asiatischer oder afrikanischer Abstammung ist diese Erkrankung eher selten anzutreffen, wobei auch hier vermehrt Fälle beschrieben werden 2 3 . Die Prävalenz steigt mit dem Alter; so zeigen in der Population der 55 Jährigen in den westlichen Ländern 12% Zeichen des MD.…”

Section: Introductionunclassified

Mittelfristige Ergebnisse nach perkutaner Nadelfasziotomie bei Morbus Dupuytren

Nichlos,

Wölfle,

Marzi

et al. 2023

Handchir Mikrochir Plast Chir

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Zusammenfassung Hintergrund Der Morbus Dupuytren führt bei betroffenen Patienten häufig zu einer zunehmenden Extensionseinschränkung der Finger. Da die Inzidenz im Alter zunimmt, ist auf Grund des demographischen Wandels mit einer Zunahme von diesen Dupuytren’schen Kontrakturen zu rechnen. Deshalb besteht weiterhin der Bedarf an einer einfachen und patientenorientierten Behandlung.In dieser Studie wurden die kurz- und mittelfristigen Ergebnisse nach perkutaner Nadelfasziotomie (PNF) untersucht. Patienten und Methoden An der Studie nahmen insgesamt 40 Patienten teil, bei denen 65 Finger mittels PNF behandelt wurden. Es wurde das totale passive Extensionsdefizit (TPED), das passive Extensionsdefizit der einzelnen Gelenke (PED), der Buck-Gramcko-Score, die Rezidivrate, der DASH-score und die Patientenzufriedenheit untersucht. Hierbei wurde ein Rezidiv als Verschlechterung des TPED um 30° oder mehr definiert. Das mittlere Patientenalter betrug 65,9 Jahre. Die Mehrzahl der Patienten war männlich (82%). Ergebnisse Direkt nach der Intervention zeigt sich eine signifikante Verbesserung der Streckfähigkeit (TPED vor PNF 74,6°±41,1 Standardabweichung (SD) auf 32,8°±29,0 SD nach Intervention), die sich bei der Nachuntersuchung nach 30,2±13,9 SD Monaten im Durchschnitt wieder leicht verschlechtert zeigte (TPED 52,7°±40,2 SD). Die Rezidivrate betrug 29,7%, wobei ein höheres Tubiana-Stadium vor der Prozedur mit einer signifikant höheren Redzivrate einherging. Trotzdem zeigte sich eine hohe Patientenzufriedenheit und fast alle Patienten würden retrospektiv die PNF erneut durchführen lassen. Schlussfolgerung Die PNF stellt weiterhin trotz relativ hoher Redzidivrate eine effektive und patientenorientierte Behandlung der Dupuytren’schen Kontraktur dar.

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Dupuytren's disease: A reality in Black Africa

Cited by 4 publications

References 23 publications

Epidemiology of Dupuytren’s and Sociodemographic Factors Related to it Among Chronic Diabetic Patients

Epidemiology of Dupuytren’s and Sociodemographic Factors Related to it Among Chronic Diabetic Patients

Skin Closure After Subtotal Aponeurectomy in Severe Dupuytren’s Contracture: Review

Mittelfristige Ergebnisse nach perkutaner Nadelfasziotomie bei Morbus Dupuytren

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