Bertrand-Silva PA, Mondragón-Pinzón EE

Language: Spanish
References: 6
Page: 101-107
PDF size: 398.25 Kb.

ABSTRACT

Dupuytren’s disease is a benign fibroproliferative disorder of the palmar fascia six times more common in men than in women. The risk of Dupuytren’s disease increases with age: 7% in the group of 45-59 years to 40% in 70-74 years. Among the risk factors are: alcohol, tobacco, diabetes, epilepsy and hypercholesterolemia. In the Regional Hospital of PEMEX in Poza Rica, from January 2005 to January 2012, eleven patients with Dupuytren’s disease were registered and offered treatment and rehabilitation. A follow-up from three months to two years was carried out. We describe clinical features, results and complications. Dupuytren’s disease may be unilateral or bilateral; nodules usually followed by a thickening in the form of a cord. For fasciectomy, the most commonly used treatment, there are multiple approaches, including midline longitudinal and transverse skin incision. 90.9% of our patients had some degree of improvement, 45.5% developed some degree of functional limitation, and there was a recurrence rate of 30.7%. Management of Dupuytren’s disease requires extensive knowledge of its etiologic factors and pathophysiology given the high rate of recurrence and postoperative complications.

REFERENCES

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