Dorsal Pads Versus Nodules in Normal Population and Dupuytren's Disease Patients

Rayan, Ghazi M.; Ali, Munawar; Orozco, Jaime Whyte

doi:10.1016/j.jhsa.2010.06.001

Cited by 16 publications

(6 citation statements)

References 18 publications

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“…The systematic review we performed mostly included low-level evidence studies with a predominance of case reports, case series, and retrospective cohorts. Only two studies were prospective (Mikkelsen, 1977; Rayan et al., 2010). Lack of data did not allow performance of a meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

Dorsal Dupuytren’s disease: a systematic review of published cases and treatment options

Carloni

Gandolfi

Elbaz

et al. 2019

J Hand Surg Eur Vol

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Dorsal lesions in Dupuytren’s disease are rare and data concerning their epidemiology and management are sparse. We conducted a systematic review to summarize reported cases of dorsal Dupuytren’s disease. Pubmed, Cochrane, and Embase databases were searched from 1893 to 2018, and 17 articles were selected (525 patients). The male to female ratio was 3.8:1. The dorsal disease was bilateral in 225 patients (50%). The index was the most commonly affected finger (48 patients). The proximal interphalangeal joint was the most commonly affected (484 cases). The most frequently reported lesions were knuckle pads (503 patients), dorsal nodules between interphalangeal joints (14 patients), boutonnière deformities (12 patients), and swan-neck deformities (2 patients). Nearly half of the included patients were treated surgically. Postoperative functional result depended on the treated lesion. Most of the included studies had a low level of evidence. Higher-quality studies are necessary to confirm our findings.

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Section: Discussionmentioning

confidence: 99%

Dorsal Dupuytren’s disease: a systematic review of published cases and treatment options

Carloni

Gandolfi

Elbaz

et al. 2019

J Hand Surg Eur Vol

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“…Although they can be associated to repetitive local trauma (for example repetitive batting of the knuckles, e.g. by boxers or suction the fingers by children), coexist with palmar (Dupuytren's disease) or plantar fibromatosis (Ledderhose's disease) or Peyronie's disease (3–5) , most KP are idiopathic (6–8) . Some authors tried to distinguish them (dorsal cutaneous pads) from dorsal Dupuytren's nodules (9) , what usually is not possible clinically and not necessary assuming being similar findings.…”

Section: Discussionmentioning

confidence: 99%

Knuckle pads – a rare finding

2012

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Knuckle pads are rare harmless subcutaneous nodules that must be differentiated from joint disease of the proximal interphalangeal or rarely of the metacarpophalangeal joints as well as from other masses of the paraarticular tissues. We present a case of an otherwise healthy 36-year-old woman presenting with bilateral knuckle pads located at the dorsal aspect of the proximal interphalangeal joints. No predisposition to a specific musculoskeletal disorder was noted. Ultrasound revealed well-delimited subcutaneous hypoechoic masses without internal flow signals at color Doppler. Histology showed proliferation of myofibroblasts with a decrease of elastic filaments in the deep dermis. The clinical picture, the family history in addition to the histology allowed us to make the diagnosis of knuckle pads. We present the ultrasound findings of knuckle pads and discuss the differential diagnosis of a “swelling” in the dorsal region of proximal interphalangeal joints and metacarpophalangeal joints.

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“…This disorder is commonly observed above the age of 40 and the prevalence is equal for men and women . Treatment options include intralesional corticosteroids and fluorouracil, which can lead to regression of the nodules .…”

Section: Knuckle Pads (Garrod's Pads)mentioning

confidence: 99%

Clinical features and management of superficial fibromatoses

Kelenjian

Mattjie

Franz

et al. 2019

J Deutsche Derma Gesell

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Summary Fibromatoses are a group of benign connective tissue tumors characterized by the infiltrative, aggressive proliferation of well‐differentiated fibroblasts, leading to frequent local recurrence. Within this heterogeneous disease group, superficial fibromatoses show slower growth and more benign infiltration of surrounding tissues than deep fibromatoses. Superficial fibromatoses relevant to dermatology include palmar, plantar, and penile fibromatosis, knuckle pads, pachydermodactyly and infantile digital fibromatosis. They present clinically with subcutaneous nodules or cords that lead to local infiltration and limited mobility of the affected areas. Treatment options vary from watchful waiting, non‐invasive methods such as radiotherapy and intralesional corticosteroid/collagenase injections to radical surgical procedures. Early intervention may disrupt disease progression and may even restore functional ability. These disorders should therefore be recognized and treated early in the course of the disease.

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Dorsal Pads Versus Nodules in Normal Population and Dupuytren's Disease Patients

Cited by 16 publications

References 18 publications

Dorsal Dupuytren’s disease: a systematic review of published cases and treatment options

Dorsal Dupuytren’s disease: a systematic review of published cases and treatment options

Knuckle pads – a rare finding

Clinical features and management of superficial fibromatoses

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