Functional Benefit of Dupuytren’s Surgery

Sinha, Ritesh; Cresswell, Tim; Mason, Rosemarie; Chakrabarti, I.

doi:10.1054/jhsb.2002.0776

Cited by 38 publications

(42 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Change in deformity in the PIP joint contributes significantly more to better function than does change in the MCP joint (7). The authors conclude that if the deformity is allowed to worsen, it may lead to a poorer functional outcome after surgery (14). It was also seen that early surgery results in a better functional outcome (7).…”

mentioning

confidence: 96%

“…Previously, two studies (7,14) concluded that a greater degree of deformity (in digital extension) is associated with a greater loss of hand function and that there is a significant correlation between change in total deformity and hand function. Change in deformity in the PIP joint contributes significantly more to better function than does change in the MCP joint (7).…”

mentioning

confidence: 99%

“…A night splint was used for 3 months in both studies (7,14). In one study no additional hand therapy was given (7); in the other study, hand therapy is not mentioned at all (14).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of Activity Limitation and Digital Extension in Dupuytren's Contracture Three Months after Fasciectomy and Hand Therapy Interventions

Engstrand¹,

Borén²,

Liedberg³

2009

Journal of Hand Therapy

View full text Add to dashboard Cite

mentioning

confidence: 96%

mentioning

confidence: 99%

See 1 more Smart Citation

Evaluation of Activity Limitation and Digital Extension in Dupuytren's Contracture Three Months after Fasciectomy and Hand Therapy Interventions

Engstrand¹,

Borén²,

Liedberg³

2009

Journal of Hand Therapy

View full text Add to dashboard Cite

“…Further, a more severe degree of contracture before surgery or contracture of the PIP joint has been associated with residual contracture after surgery (10,13,14). Though reduced finger flexion is a potential complication (4), few studies report the impact of surgery on finger flexion.…”

Section: Introductionmentioning

confidence: 99%

“…Descriptions of finger flexion after surgery vary from all patients regaining finger flexion within 2 weeks (15) to flexion deficits present 6 weeks postoperative (16) to no patients achieving restoration of full range of motion (ROM) (17). Benefits in ROM over time have been reported occasionally for isolated joints (18), and some studies report improvement in hand function after surgery measured by the Sollerman grip function test (13,19). 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).…”

Section: Introductionmentioning

confidence: 99%

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

Engstrand¹,

Krevers²,

Nylander³

et al. 2014

The Journal of Hand Surgery

View full text Add to dashboard Cite

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.

show abstract

Unité Rhumatologique des Affections de la Main (URAM) scale: Development and validation of a tool to assess Dupuytren's disease–specific disability

Beaudreuil

Allard

Zerkak

et al. 2011

Arthritis Care & Research

105

View full text Add to dashboard Cite

Objective. To our knowledge, no functional outcome measure has been developed and validated for Dupuytren's disease. We aimed to develop and validate a patient-reported functional outcome measure for Dupuytren's disease. Methods. Patients with Dupuytren's disease (n ‫؍‬ 9) and medical experts (n ‫؍‬ 7) provided input and opinions about limiting activities that were difficult to perform because of Dupuytren's disease for item generation. The provisional scale was studied in an independent sample of patients (n ‫؍‬ 85) for item reduction according to response distribution, reliability, redundancy, and loading in a 1-factor solution. The final scale was evaluated as follows: reliability using Cronbach's alpha coefficient and test-retest intraclass correlation coefficient from the previous 85-patient population, and construct validity and responsiveness after needle aponeurotomy in another independent 53-patient sample. For construct validity, convergent validity and divergent validity were tested. The clinically important change was estimated relative to a 1-point categorical change on the Tubiana scale. Results. A 52-item provisional scale was generated and reduced to the final 9-item scale called the Unité Rhumatologique des Affections de la Main (URAM) scale (total score 0 -45). The scale showed good to excellent reliability and suitable construct validity. The URAM score improved after needle aponeurotomy: the standardized effect size was 0.56. The estimated clinically important change of the URAM scale was 2.9 points. Conclusion. We provide the first patient-reported functional measure for Dupuytren's disease. The URAM scale demonstrated suitable psychometric properties, and is short and convenient enough for easy use in daily practice and in clinical studies.

show abstract

Functional Benefit of Dupuytren’s Surgery

Cited by 38 publications

References 3 publications

Evaluation of Activity Limitation and Digital Extension in Dupuytren's Contracture Three Months after Fasciectomy and Hand Therapy Interventions

Evaluation of Activity Limitation and Digital Extension in Dupuytren's Contracture Three Months after Fasciectomy and Hand Therapy Interventions

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

Unité Rhumatologique des Affections de la Main (URAM) scale: Development and validation of a tool to assess Dupuytren's disease–specific disability

Contact Info

Product

Resources

About