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Dupuytren's Contracture

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European Instructional Lectures

Dupuytren's contracture (DC) is a unique disease. It does not cause intolerable pain, it does not endanger life. It is located superfi cially and its course can be followed and documented easily. It is understandable that this disease attracts researchers and as far as I know about 30 publications appear every year about DC. Still we do not have a universal idea about the aetiology or the pathogenesis. The therapy is mainly surgical but the optimal approach is still controversial. The recurrence rate of the most often-applied techniques is still unacceptably high.

DC was mentioned as early as 1614 by the Professor of Anatomy in Basel, Felix Platter [1]. Until the early nineteen century it was regarded as a contracture of the fl exor tendon. Baron Guillaume Dupuytren, surgeon of the Hotel Dieu in Paris, described cases suffering from fi nger con-tractures in his lectures, which were published in 1831 [2]. He recognized the palmar aponeurosis as the location of the disease. This knowledge made a rational surgical therapy with preservation of the fl exor tendons possible. It became known worldwide and consequently his name was attached to the disease, in spite of the fact, that others had already published the same idea before Dupuytren. In 1834 Goyrand [3] came to the conclusion that the disease starts in the skin. This idea was re-vitalized by Hueston [4], who attributed to the skin a certain infl uence on the occurrence of recurrences and recommended skin excision to avoid them.

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Authors and Affiliations

  1. Wiener Privatklinik, Pelikangasse, Wien, 15 1090, Austria

    Hanno Millesi

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  1. Hanno Millesi
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  1. Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, HA 7 4LP, UK

    George Bentley

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Millesi, H. (2009). Dupuytren's Contracture. In: Bentley, G. (eds) European Instructional Lectures. European Federation of National Associations of Orthopaedics and Traumatology, vol 9. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00966-2_15

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  • DOI: https://doi.org/10.1007/978-3-642-00966-2_15

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  • Print ISBN: 978-3-642-00965-5

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