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Procedures for Dupuytren contracture have one goal: lessening extension deficit. Most treatment outcomes are defined exclusively in terms of joint range of motion. Although it would seem intuitive that improved range of motion correlate directly with improved hand function, this is difficult to document with standard testing. Generic upper extremity functional surveys such as Disabilities of the Arm, Shoulder and Hand (DASH) do not correlate well with angular deformity or self-perception of outcome in Dupuytren disease.
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- Engstrand C, Boren L, Liedberg GM. Evaluation of activity limitation and digital extension in Dupuytren’s contracture three months after fasciectomy and hand therapy interventions . J Hand Ther. 2009;22(1):21-26; quiz 27. doi:10.1016/j.jht.2008.08.003 (PDF)
- Jerosch-Herold C, Shepstone L, Chojnowski A, Larson D. Severity of contracture and self-reported disability in patients with Dupuytren’s contracture referred for surgery. J Hand Ther. 2011;24(1):6-10; quiz 1. (PDF)
- Mosegaard SB, Stilling M, Hansen TB. Pain Catastrophizing Scale as a predictor of low postoperative satisfaction after hand surgery. J Orthop. 2020;21:245-8. (PDF)
- Rodrigues JN, Zhang W, Scammell BE, Davidson D, Fullilove S, Chakrabarti I, et al. Recovery, responsiveness and interpretability of patient-reported outcome measures after surgery for Dupuytren’s disease. J Hand Surg Eur Vol. 2017;42(3):301-9. (PDF)
- Warwick D. Correlation of Function with Deformity in Dupuytren Disease: The Condition-Specific Southampton Scoring Scheme Outperforms the Generic QuickDASH. Dupuytren Disease and Related Diseases – The Cutting Edge 2017. p. 199-203. (PDF)
- Zyluk A, Jagielski W. The effect of the severity of the Dupuytren’s contracture on the function of the hand before and after surgery. J Hand Surg Eur Vol. 2007;32(3):326-329. doi:10.1016/J.JHSB.2006.10.007 (PDF)