DUPUYTREN’S CONTRACTURE. A CLINICAL CASEBOOK

1. Nonoperative Management of Finger Flexion Contracture in Dupuytren’s Disease: Orthotic Intervention and Tissue Mobilization Techniques
2. Needle Aponeurotomy in the Management of Dupuytren’s Contracture
3. Ultrasound Assisted Needle Aponeurotomy in the Management of Dupuytren’s Contracture
4. Corticosteroid Injections and Needle Aponeurotomy in the Management of Dupuytren’s Contracture
5. Clostridial Collagenase Injections in the Treatment of Dupuytren’s Contracture
6. Minimally Invasive Partial Fasciectomy
7. Surgical Fasciotomy for Dupuytren Contracture
8. Surgical Fasciectomy for Dupuytren’s Contracture
9. Wide Awake Dupuytren’s Fasciectomy: A Pathoanatomical Approach
10. Surgical Open Palm (McCash) Technique
11. Treatment of Dupuytren’s Contracture with Dermofasciectomy
12. Surgical Fasciectomy for Recurrent Disease
13. Use of Dynamic External Fixator (Digit Widget) in Dupuytren’s Contracture
14. The Distal Interphalangeal Joint in Dupuytren’s Disease
15. Knuckle Pads (Garrod’s Nodules) of the Fingers: Painful Dorsal Nodules on the PIP Joints of the Fingers and Concomitant Recurrent Dupuytren’s Contracture
16. Arthrodesis in Treatment of Dupuytren’s Contracture
17. Amputation in Management of Severe Dupuytren’s Contracture
18. Treatment of Dupuytren’s Contracture in the Young
19. Recurrent Dupuytren Contracture Treated with Fasciectomy and Skin Grafting

Comprised exclusively of clinical cases involving Dupuytren’s contracture, this concise, practical casebook will provide clinicians in orthopedics and hand surgery with the best real-world strategies to properly diagnose and treat this recurrent disease of the fascia. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls and pitfalls. Initial chapters discuss non-operative treatments ranging from orthosis/tissue mobilization, corticosteroid injections, needle aponeurotomy and collagenase injections. Various surgical interventions follow, including fasciotomy, fasciectomy, open palm, and dermatofasciectomy. Chapters discussing the use of skin grafting, illustrating the special challenges associated with revision surgery, and “end of the line” interventions such as arthrodesis and amputation are also included. Less common aspects of Dupuytren’s are reviewed as well, as are cases that address treatment and special consideration in younger patients, the role/use of dynamic external fixators in Dupuytren’s care, correction of distal interphalangeal (DIP) joint contractures and treatment of dorsal finger (Garrod’s) nodes. Pragmatic and reader-friendly, Dupuytren’s Contracture: A Clinical Casebook will be an excellent resource for orthopedic and hand surgeons alike.

Features
• A cased-based, practical guide to the management of Dupuytren's contracture
• Discusses the various current non-invasive, minimally invasive and surgical approaches, including needle aponeurotomy, surgical fasciotomy and fasciectomy and radiation therapy
• An excellent resource for practicing clinicians, residents and students alike

Author
Marco Rizzo, MD, Professor, Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.