Predictors of Outcomes Following Fasciectomy for Dupuytren's Disease in Diabetic and Non-Diabetic Patients.

Background: The aim of this study was to compare clinical outcomes, and identify predictors thereof, after fasciectomy for Dupuytren's disease in a series of diabetic patients compared with non-diabetic patients.

Methods: Thirty-eight patients were examined following partial palmar and/or digital fasciectomy for Dupuytren's disease (11 diabetics, 27 non-diabetics). Each patient was assessed for degree of pre- and post-operative flexion contractures at the MCP and PIP joints, post-operative Patient Evaluation Measure (PEM) total score, post-operative grip strength, limited joint mobility (LJM), recurrence, extension, and a composite outcomes score based upon grip strength and the degree of joint contractures.

[Hand disorders in diabetic patients].

Some commonly encountered hand disorders such as trigger finger, carpal tunnel syndrome and Dupuytren's contracture occur up to 4 times more frequently in diabetic patients, affecting their activity and decreasing the quality of their life. The natural history of these disorders in diabetic patients and the outcome of treatment may not be the same as in the general population. Furthermore, some patients develop hand problems due to limited joint mobility.