Pain in Dupuytren's disease / Leen Vandecasteele in Acta Orthopaedica Belgica, Vol. 86/3 (Septembre 2020)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 555-562 Titre : Pain in Dupuytren's disease Type de document : texte imprimé Auteurs : Leen Vandecasteele, Auteur Année de publication : 2020 Article en page(s) : p. 555-562 Langues : Anglais (eng) Résumé : To investigate pain in patients with Dupuytren disease, we analyzed the literature on pre- and post-interventional pain and complex regional pain syndrome. The pre-interventional pain intensity score of primary Dupuytren ranged from 0.3/10 to 2.0/10. One year after surgery or needle fasciotomy, no significant change of pain could be found. Collagenase therapy significantly reduced the mean pain intensity score from 1.3/10 [SD 2.2] to 0.5/10 [1.5] (p<0.01) after one year. The prevalence of complex regional pain syndrome after fasciectomy ranged from 0% to 12.8%, after needle fasciotomy from 0% to 6.3%, and after collagenase therapy from 0% to 3.0%. We conclude that for most Dupuytren patients, pain is not an issue. A minority seems to suffer pain and collagenase treatment appears to reduce this complaint significantly. However, complex regional pain syndrome is a known complication of Dupuytren treatment, with a low incidence after minimal invasive treatment. Permalink : ./index.php?lvl=notice_display&id=92032 [article] Pain in Dupuytren's disease [texte imprimé] / Leen Vandecasteele, Auteur . - 2020 . - p. 555-562. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 86/3 (Septembre 2020) . - p. 555-562 Résumé : To investigate pain in patients with Dupuytren disease, we analyzed the literature on pre- and post-interventional pain and complex regional pain syndrome. The pre-interventional pain intensity score of primary Dupuytren ranged from 0.3/10 to 2.0/10. One year after surgery or needle fasciotomy, no significant change of pain could be found. Collagenase therapy significantly reduced the mean pain intensity score from 1.3/10 [SD 2.2] to 0.5/10 [1.5] (p<0.01) after one year. The prevalence of complex regional pain syndrome after fasciectomy ranged from 0% to 12.8%, after needle fasciotomy from 0% to 6.3%, and after collagenase therapy from 0% to 3.0%. We conclude that for most Dupuytren patients, pain is not an issue. A minority seems to suffer pain and collagenase treatment appears to reduce this complaint significantly. However, complex regional pain syndrome is a known complication of Dupuytren treatment, with a low incidence after minimal invasive treatment. Permalink : ./index.php?lvl=notice_display&id=92032

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