Clinical commentary in response to: Severity of contracture and self-reported disability in patients with Dupuytren's contracture referred for surgery.

摘要

Loss of motion, particularly functional extension, and the resultant activity limitations in Dupuytren's disease (DD) are among the motivations for a patient to pursue hand surgery.1 The authors of this article set out to investigate if there was a relationship between the loss of active extension and the level of self-reported disability in persons planning to undergo surgical release for DD. Because the small finger is affected more often than other digits in DD, they also were interested in determining if self-reported disability was associated with the amount of extension loss (contracture) of any particular digit or a product of the total movement losses in the entire hand. Evidence from this study will add to the larger body of evidence that previously looked for a relationship2"4 using the same patient-reported instrument (the DASH-Disabilities of the Arm, Shoulder and Hand Questionnaire) and range-of-motion (ROM) measures.