Page "Dupuytren's contracture" Paragraph 22

In a study of Hindocha et al.

they reevaluated these 4 factors and modified them.

The original factors of family history, bilateral Dupuytren ’ s disease, and ectopic lesions now include 2 additional factors: male gender and age at onset of younger than 50 years.

The presence of all new Dupuytren ’ s disease diathesis factors in a patient increases the risk of recurrent Dupuytren ’ s disease by 71 % compared with a baseline risk of 23 % in those Dupuytren ’ s disease patients with none of the earlier-described factors.

In another study the prognostic value of diathesis was evaluated.

They concluded that presence of diathesis can predict recurrence and extension.

A scoring system was made to evaluate the risk of recurrence and extension containing the following values: bilateral hand involvement, little finger surgery, early onset of disease, plantar fibrosis, knuckle pads and radial side involvement.