ULTRASOUND PARAMETERS OF PALMAR FIBROMATOSIS OR DUPUYTREN’S CONTRACTURE
Objective: To identify ultrasound diagnostic parameters that guide treatment decisions, facilitate preoperative planning, and enable evaluation of treatment outcomes of Dupuytren's contracture (DC). Methods: The data from clinical and ultrasound examinations of 30 patients diagnosed with DC...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Avicenna Tajik State Medical University
2025-07-01
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| Series: | Паёми Сино |
| Subjects: | |
| Online Access: | https://doi.org/10.25005/2074-0581-2025-27-2-472-478 |
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| Summary: | Objective: To identify ultrasound diagnostic parameters that guide treatment decisions, facilitate preoperative planning, and enable evaluation of treatment outcomes of Dupuytren's contracture (DC).
Methods: The data from clinical and ultrasound examinations of 30 patients diagnosed with DC are presented, with an average age of 60.8 years. The clinical examination determined the extent of contracture and localized the lesions. Subsequently, ultrasound characteristics were assessed using multifrequency therapeutic ultrasound, including the lesion's location, size, echogenicity, density, and vascularization.
Results: The majority of the lesions (93%) were located at the level of the 4th and 5th fingers/metacarpals, directly above the flexor tendons. In 7% of cases, involvement of the synovial flexor sheath was observed. The lesions' epicenters were located at the metacarpals in 85% of cases. Average lesion dimensions were 15.8 mm in length, 5.2 mm in width, and 1.9 mm in depth. On ultrasound images, the lesions were characteristically hypoechoic. The ultrasound average elastography strain ratio index (SRI) was 4.86. Additionally, an assessment of microcirculation indicated a decrease in patients with DC.
Conclusion: The ultrasound parameters of pathologically altered palmar aponeurosis can aid in determining the appropriate treatment strategy. This approach minimizes the risk of iatrogenic complications, such as damage to the tendon and vascular-nerve bundles, by facilitating thorough preoperative planning. Additionally, these ultrasound parameters enable a more objective assessment of treatment results in the postoperative period and help predict the risk of potential contracture recurrences. |
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| ISSN: | 2074-0581 2959-6327 |