Dupuytren’s Disease Secondary to Acute Injury, Infection or Operation Distal to the Elbow in the Ipsilateral Upper Limb – a Historical Review

Author(s): Elliot D, Ragoowansi R.

Source: J Hand Surg 30B:148-156, 2005.

Summary:

The authors accumulated 333 cases of Dupuytren’s disease which reportedly developed after acute or specific injury, operation or infection of the forearm, wrist or hand in a review of the literature from 1614 to 2003.  They also included a personal series of 52 cases.  They presented the historical reports and personal cases as support for an association of specific injury, operation or infection, and the onset of Dupuytren’s disease.

While well recognized as a potential complication of distal radius fractures, the post-traumatic form of Dupuytren’s disease typically involves only localized nodules.  True cord formation and contracture is rare.  The actual etiology and natural history of Dupuytren’s disease remains unclear and is most probably multifactorial.  This report simply adds another piece of information with unclear significance to an already poorly understood disease process.

 

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J Hand Surg