(1) Pilgrim Hospital Boston, United Lincolnshire Hospitals, United Kingdom
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This review describes the condition known as Dupuytren’s Contracture, from the historical beginnings leading to its eponymous title, through the most current understanding of the pathophysiology, the clinical aspects of disease recognition, to the latest non-surgical and surgical options used in treatment.
Dupuytren's disease is a fascinating condition with a variable course and prognosis. Treatment to date has been mainly surgical, though in future non-surgical treatment are set to become increasingly more common and clinically important.
Knowledge of the complex anatomy of the hand is vital in ensuring precise and effective surgical treatment. The relationship of pathological contractures with the neurovascular bundles and flexor tendons requires meticulous procedural skill, even when utilising non-surgical treatments. Limitations of treatment, especially in severe disease, should be recognised, thoroughly explained to patients and evaluated when implementing medical services. Dupuytren's disease remains a true medical conundrum.