Clinical characteristics and Effect of Partial Fasciectomy in Dupuytren's Disease of the Korean
10.4055/jkoa.1995.30.5.1301
- Author:
Moon Sang CHUNG
;
Goo Hyun BAEK
;
Han Soo KIM
;
Tae Gyun KIM
- Publication Type:Original Article
- Keywords:
Dupuytren's disease;
partial fasciectomy
- MeSH:
Alcoholics;
Contracture;
Diabetes Mellitus;
Dupuytren Contracture;
Epilepsy;
Fingers;
Follow-Up Studies;
Hand;
Humans;
Male;
Occupations;
Recurrence;
Retrospective Studies;
Seoul
- From:The Journal of the Korean Orthopaedic Association
1995;30(5):1301-1307
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
From January 1982 to December 1991, we experienced 96 hands of 66 patients with Dupuytren's disease in Seoul National University Hospital. We performed retrospective analysis of these 96 hands of 66 patients and the results were as follows. Among 66 patients, 60 patients (91%) were male and 51 patients (77%) were in sixth or seventh decade, the average age 58.1 years. Occupations of 66 patients were manual laborer(18 patients, 28%), farmer(15 patients, 22%), sportsman(4 patients, 6%) and deskworker(29 patients, 44%). Among the diseases such as diabetes mellitus, alcoholics, epilepsy known as associated with Dupuytren's disease, diabetes mellitus was more common in our cases, whereas alcoholics and epilepsy were relatively rare. There was no case in which family history was present. Both hands were involved in 30 patients, right hand only in 30 patients, and left hand only in 6 patients. Right hand was involved in 60 patients(91%), whereas left hand was involved in 36 patients(55%). The case in which only the 4th finger was involved was most common(42 hands, 44%). The 4th finger was affected most frequently(81 hands, 84%). In diabetic patients, the middle finger was involved more frequently than in non-diabetic patients(p < 0.05). Most of patients(83 hands, 86%) had symptoms of flexion contracture, nodule or contracted cord simultaneously. Surgical treatment was per- formed in 32 hands of 22 patients, with the results of excellent in 24 hands(75%), good in 6 hands(19%) and no recurrence, in average follow-up 3.6 years(2.6 years to 5.0 years). In conclusion, it might be thought that Dupuytren's disease in which surgical treatment was required was relatively rare in Korean and even if necessary, partial fasciectomy resulted in rather good result.
