Abstract DUPUYTREN'S contracture was first shown to be a disease of the palmar fascia by Dupuytren just 120 years ago. Since that time an exhaustive literature has grown up about it, but knowledge concerning its exact etiology is still not complete, nor is there agreement as to the nature of the pathologic changes which are found in the excised fascia. There is less argument relative to the treatment. It is generally admitted that the condition should be managed surgically; no conservative measures have proved to be satisfactory. There is some argument among surgeons as to how extensive the surgical treatment should be. In general it can be said that most surgeons advise complete removal of the palmar fascia and of prolongations into the fingers if they are involved. Removal should be done fairly early, before secondary changes and extensive skin involvement have taken place. There has been a recrudesence of subcutaneous References 1. Luck, J. V.: Dupuytren's Contracture: Treatment by Subcutaneous Fasciotomy and Excision of Nodules and Plaques, read at the meeting of the American Academy of Orthopaedic Surgeons, Chicago, Jan. 29, 1952. 2. Hamlin, E. Jr.: Limited Excision for Dupuytren's Contracture , Ann. Surg. 135:94-97, 1952.Crossref 3. Meyerding, H. W.: Dupuytren's Contracture , Arch. Surg. 32:320-333, 1936.Crossref 4. Meyerding, H. W.; Black, J. R., and Broders, A. C.: The Etiology and Pathology of Dupuytren's Contracture , Surg., Gynec. & Obst. 72:582-590, 1941. 5. Meyerding, H. W., and Jackson, A. E.: Epidermoid Cyst of the Left Palm with Dupuytren's Contracture of the Hands and Right Foot: Case Report , S. Clin. North America 28:1031-1039, 1948. 6. Koch, S. L.: Dupuytren's Contraction , J. A. M. A. 100:878-880, 1933. 7. Couch, H.: Identical Dupuytren's Contracture in Identical Twins , Canad. M. A. J. 39:225-226, 1938. 8. Gordon, S.: Dupuytren's Contracture , Canad. M. A. J. 58:543-547, 1948. 9. Scott, W. W., and Scardino, P.: A New Concept in the Treatment of Peyronie's Disease , South. M. J. 41:173-177, 1948. 10. Bolgert, M.: Maladie de Dupuytren: Conssinets des phalanges , Semaine hôp. Paris , 26:3011-3017, 1950. 11. Langston, R. G., and Badre, E. J.: Dupuytren's Contracture , Canad. M. A. J. 58:57-61, 1948. 12. Buff, H. U.: Bemerkungen zur Therapie der Dupuytrenschen Kontraktur , Helvet. chir. acta 17:277-280, 1950. 13. Iselin, M., and Dieckmann, G.: Notre expérience du traitement de la maladie de Dupuytren , Mém. Acad. chir. 77:251-255, 1951. 14. Bruner, J. M.: The Use of Dorsal Skin Flap for the Coverage of Palmar Defects After Aponeurectomy for Dupuytren's Contracture , Plast. & Reconstruct. Surg. 4:559-565, 1949.
A.M.A. Archives Surgery – American Medical Association
Published: Sep 1, 1952
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