Alternative and Adjunctive Treatments for Dupuytren Disease

Hand Clin. 2018 Aug;34(3):367-375. doi: 10.1016/j.hcl.2018.03.005. Epub 2018 Jun 8.

Abstract

Clinicians struggle with limited efficacy and durability of standard treatments when treating patients with Dupuytren disease diathesis. Alternative treatments such as low-dose radiation therapy in early phase of disease, supplemental pharmacotherapy with anti-inflammatory and/or anti-mitotic drugs, as well as other pharmacologic targets, and more aggressive surgery such as dermofasciectomy all have been reported with variable success or with serious side effects that hamper their standard use. This article gives an overview of the available literature.

Keywords: Dermofasciectomy; Dupuytren; Firebreak skin graft; Pharmacotherapy; Radiotherapy.

Publication types

  • Review

MeSH terms

  • Acellular Dermis
  • Anti-Inflammatory Agents / therapeutic use
  • Antimitotic Agents / therapeutic use
  • Dupuytren Contracture / therapy*
  • Fasciotomy / methods
  • Humans
  • Radiotherapy
  • Secondary Prevention
  • Surgical Flaps

Substances

  • Anti-Inflammatory Agents
  • Antimitotic Agents