Painful Nodules and Cords in Dupuytren Disease
The Journal of Hand Surgery, 06/22/2012
Von Campe A et al. – Although Dupuytren disease is generally considered painless, the authors treated a series of early stage patients with painful disease. Intraoperative inspection and histological examination of tissue samples showed that nerve tissue was involved in all cases. The pain might have been due to local nerve compression by the fibromatosis or the Dupuytren disease itself. The authors, therefore, suggest that the indication for surgery in Dupuytren disease be extended to painful nodules for more than 1 year, even in the early stages of the disease in the absence of functional deficits, with assessment of tissue samples for histological changes in nerves.