Affordable Access

deepdyve-link
Publisher Website

Using tongue depressors to aid cord localization during collagenase injection for Dupuytren disease.

Authors
  • Dhawan, V1
  • Yonz, C1
  • Zhang, X2
  • Shao, X3
  • Du, W3
  • 1 Department of Orthopedics and Sports Medicine, Hand and Upper Extremity Service, University of Kentucky, 740 S Limestone, Suite K 401, Lexington, KY 40506, USA.
  • 2 Department of hand surgery, Third Hospital of Hebei Medical University, 139 Ziqiang Rd, Shijiazhuang, Hebei, 050051, China. Electronic address: [email protected] , (China)
  • 3 Department of hand surgery, Third Hospital of Hebei Medical University, 139 Ziqiang Rd, Shijiazhuang, Hebei, 050051, China. , (China)
Type
Published Article
Journal
Hand surgery & rehabilitation
Publication Date
Oct 01, 2019
Volume
38
Issue
5
Pages
290–292
Identifiers
DOI: 10.1016/j.hansur.2019.07.006
PMID: 31382027
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The aim of this paper was to introduce a simple and effective method to aid in isolation and stabilization of Dupuytren cords for collagenase injection. Tongue depressors were used to isolate and stabilize the cord during the injection procedure. The area to be injected was sterilely prepared. An assistant was then directed to place a tongue depressor on both sides of the cord. A total of 35 patients with Dupuytren disease were treated. Follow-up lasted two years. Post-operative Disabilities of the Arm, Shoulder and Hand (DASH) scores was 4±2. Health-related quality of life measured with the EQ-5D index was 0.89±0.4. Recurrence rates of metacarpophalangeal joint and proximal interphalangeal joint were 11% and 14% respectively, using a flexion contracture of 20° to define recurrence. Collagenase treatment using a modified injection method with the aid of tongue depressors are a safe, effective way to treat Dupuytren contractures of the fingers. The technique can isolate the cord, which improves visualization of the cord. It may allow improved accuracy with needle placement and helps to decrease the complications and recurrence. Copyright © 2019 SFCM. Published by Elsevier Masson SAS. All rights reserved.

Report this publication

Statistics

Seen <100 times