Table of contents
Dupuytren's contracture
Guidelines
Key sources
The following summarized guidelines for the management of Dupuytren's contracture are prepared by our editorial team based on guidelines from the Dutch Multidisciplinary Guideline (DMG 2022) and the German Society of Radiation Oncology (DEGRO 2015).
1
2
Medical management
Therapeutic procedures
Collagenase injections: as per DMG 2022 guidelines, administer collagenase injections in patients with DC only in clinical trials.
E
More topics in this section
Radiotherapy
Perioperative care
Preoperative splinting: as per DMG 2022 guidelines, insufficient evidence to recommend preoperative orthosis fabrication in patients with DC.
I
More topics in this section
Preoperative external fixation
Perioperative arthrolysis
Surgical interventions
Indications for surgery
As per DMG 2022 guidelines:
Inform patients of the following before offering surgery:
surgery cannot result in a completely straight finger or removal of the entire affected fascia
wound healing takes time, and scar tissue is to be anticipated
intensity and duration of the postoperative period
possibility of recurrence
E
Reconsider performing surgery in case of the following relative contraindications:
immunosuppressive therapy
anticoagulant therapy
smoking
diabetes mellitus
vascularly compromised upper extremities
E
More topics in this section
Partial fasciectomy
Dermofasciectomy
Percutaneous needle fasciotomy
Segmental fasciectomy
Radical fasciectomy
Salvage techniques