Dupuytren`sche Kontraktur
- Geschichte der Erkrankung
- Anatomie und Pathophysiologie
- Patient*innenperspektive und Auswirkungen der Erkrankung auf die Betroffenen und deren Leben/Alltag/Handlungsfähigkeit
- Chirurgische Behandlungstechniken, aus denen die (hand)therapeutischen Interventionen resultieren
- (hand)therapeutische Methoden und Ergebnisse
- Prävention bzw. Limitierung von Rezidiven
- Bau von zwei Lagerungsschienen und einer Fingerschiene
- Relevante Assessments bei der Dupuytren´schen Kontraktur
- Fallbesprechungen
- Forschung der Erkrankung
Im Rahmen dieser Fortbildung wird anhand von Evidenzen eine holistische Sichtweise auf diese fibrotische Erkrankung, die uns in unserem therapeutischen Alltag immer wieder begegnet, anschaulich präsentiert. Die Teilnehmer*innen können ihr Wissen und ihre Fertigkeiten vertiefen, um Patient*innen, Kolleg*innen und interessierten Personen Zusammenhänge und therapierelevante Vorgehensweisen zu erklären, entsprechend zu agieren und damit die Rolle und Relevanz der Therapie bei der Dupuytren`schen Kontraktur auszufüllen.
Evidenzen
Bradet-Levesque, I., Audet, J., Roy, J. S., & Flamand, V. H. (2022). Measuring functional outcome in Dupuytren’s disease: A systematic review of patient-reported outcome measures. Journal of Hand Therapy, 35(4), 613–627. https://doi.org/10.1016/j.jht.2021.04.010
Brauns, A., Van Nuffel, M., De Smet, L., & Degreef, I. (2017). A clinical trial of tension and compression orthoses for Dupuytren contractures. Journal of Hand Therapy, 30(3), 253–261. https://doi.org/10.1016/j.jht.2016.11.011
Engstrand, C. (2016). Hand function in patients with Dupuytren ’ s disease (Nummer 1497). https://doi.org/10.3384/diss.diva-125973
Engstrand, C., Krevers, B., & Kvist, J. (2015). Factors affecting functional recovery after surgery and hand therapy in patients with Dupuytren’s disease. Journal of Hand Therapy, 28(3), 255–260. https://doi.org/10.1016/j.jht.2014.11.006
Engstrand, C., Kvist, J., & Krevers, B. (2016). Patients’ perspective on surgical intervention for Dupuytren’s disease – experiences, expectations and appraisal of results. Disability and Rehabilitation, 38(26), 2538–2549. https://doi.org/10.3109/09638288.2015.1137981
Fernando, J. J., Fowler, C., Graham, T., Terry, K., Grocott, P., & Sandford, F. (2024). Pre-operative hand therapy management of Dupuytren’s disease: A systematic review. Hand Therapy, 29(2), 52–61. https://doi.org/10.1177/17589983241227162
Herweijer, H., Dijkstra, P. U., Nicolai, J.-P. a, & Van der Sluis, C. K. (2007). Postoperative hand therapy in Dupuytren’s disease. Disability and rehabilitation, 29(November), 1736–1741.
Huisstede, B. M., Hoogvliet, P., Coert, J. H., & Fridén, J. (2013). Dupuytren Disease: European Hand Surgeons, Hand Therapists, and Physical Medicine and Rehabilitation Physicians Agree on a Multidisciplinary Treatment Guideline: Results from the HANDGUIDE Study. Plastic and reconstructive surgery, 132(6), 964e–976e.
Karam, M., Kahlar, N., Abul, A., Rahman, S., & Pinder, R. (2021). Comparison of Hand Therapy with or without Splinting Postfasciectomy for Dupuytren’s Contracture: Systematic Review and Meta-Analysis. Journal of Hand and Microsurgery. https://doi.org/10.1055/s-0041-1725221
Karpinski, M., Hircock, C., Gallo, L., Dunn, E., Murphy, J., Kaur, M. N., & Thoma, A. (2024). Understanding Stakeholder Priorities in Dupuytren Disease: A Qualitative Study. Hand. https://doi.org/10.1177/15589447241306143
Kitridis, D., Karamitsou, P., Giannaros, I., Papadakis, N., Sinopidis, C., & Givissis, P. (2019). Dupuytren’s disease: limited fasciectomy, night splinting, and hand exercises—long-term results. European Journal of Orthopaedic Surgery and Traumatology, 29(2), 349–355. https://doi.org/10.1007/s00590-018-2340-6
Larocerie-Salgado, J. & Davidson, J. (2012). Nonoperative treatment of PIPJ flexion contractures associated with Dupuytren´s disease. The Journal of hand surgery, European volume, 37(8), 722–727. https://doi.org/10.1177/17531934114226
Lauritzson, A., Eckerdal, D., & Atroshi, I. (2023). Responsiveness of the patient-specific Canadian occupational performance measure and a fixed-items activity limitations measure in patients with dupuytren disease. Journal of Patient-Reported Outcomes, 7(1), 1–8. https://doi.org/10.1186/s41687-023-00579-7
Pelzmann, S. E. (2015). Methods and Outcomes of Hand Therapy in Dupuytren´s Disease. A Scoping Review. FH Campus Wien.
Pelzmann, S. E. (2021). Schienenbehandlung bei der Dupuytren´schen Kontraktur. Promanu, (1), 8–11.
Pelzmann, S. E. (2022a). Anwendung und Evaluierung der Schienenbehandlung bei der Dupuytren´schen Kontraktur. Praxis Handreha, 03(3), 122–128
Pelzmann, S. E. (2022b). Schienenbehandlung nach Fasziektomie bei der Dupuytren´schen Kontraktur. Praxis Handreha, 03(3), 116–121.
Pelzmann, S. E. (2025). Patients’ perspectives on Dupuytren’s disease: A scoping review and categorization using the WHO International Classification of Functioning, Disability and Health Framework (ICF). Journal of Hand Therapy, 38(3), 492–507. https://doi.org/10.1016/j.jht.2024.12.007
Pelzmann, S. E. (2026). The Unité Rhumatologique des Affections de la Main (URAM) Scale and its Measurement Properties for Dupuytrens Disease. Handchirurgie Mikrochirurgie Plastische Chirurgie. https://doi.org/10.1055/a-2833-9848
Pratt, A. L., & Ball, C. (2016). What are we measuring A critique of range of motion methods currently in use for Dupuytren ’ s disease and recommendations for practice. BMC Musculoskeletal Disorders, 1–11. https://doi.org/10.1186/s12891-016-0884-3
Pratt, A. L., & Byrne, G. (2009). The lived experience of dupuytren’s disease of the hand. Journal of Clinical Nursing, 18, 1793–1802. https://doi.org/10.1111/j.1365-2702.2008.02692.x
Ruettermann, M., Hermann, R. M., Khatib-Chahidi, K., & Werker, P. M. N. (2021). Dupuytren’s disease—Etiology and Treatment. Deutsches Ärzteblatt international, (February 2022), 781–788. https://doi.org/10.3238/arztebl.m2021.0325
Samargandi, O. A., Alyouha, S., Larouche, P., Corkum, J. P., Kemler, M. A., & Tang, D. T. (2017). Night Orthosis After Surgical Correction of Dupuytren Contractures: A Systematic Review. Journal of Hand Surgery, 42(10), 839.e1-839.e10. https://doi.org/10.1016/j.jhsa.2017.06.100
Sanjuan-Cervero, R., Gomez-Herrero, D., Poquet-Jornet, J. E., Peña-Molina, F., de la Iglesia, N. H., Sanjuan-Arago, A., Vazquez-Ferreiro, P., & Carrera-Hueso, F. J. (2022). A comparison of patient-reported outcome measures for dupuytren disease: A prospective view. Journal of Plastic, Reconstructive and Aesthetic Surgery, 75(10), 3774–3781. https://doi.org/10.1016/j.bjps.2022.06.024
Sweet, S., & Blackmore, S. (2014). Surgical and therapy update on the management of Dupuytren’s disease. Journal of hand therapy : official journal of the American Society of Hand Therapists, 27(2), 77–84.
Turesson, C. (2018). The Role of Hand Therapy in Dupuytren Disease. Hand Clinics, 34(3), 395–401. https://doi.org/10.1016/j.hcl.2018.03.008
Turesson, C., Kvist, J., & Krevers, B. (2020). Experiences of men living with Dupuytren’s disease—Consequences of the disease for hand function and daily activities. Journal of Hand Therapy, 33(3), 386–393. https://doi.org/10.1016/j.jht.2019.04.004
Van Den Berge, B. A., Wiberg, A., Werker, P. M. N., Broekstra, D. C., & Furniss, D. (2023). Dupuytren’s disease is a work-related disorder: Results of a population-based cohort study. Occupational and Environmental Medicine, 80(3), 137–145. https://doi.org/10.1136/oemed-2022-108670
Winberg, M., & Turesson, C. (2022). Patients’ perspectives of collagenase injection or needle fasciotomy and rehabilitation for Dupuytren disease, including hand function and occupational performance. Disability and Rehabilitation, 1–11. https://doi.org/10.1080/09638288.2022.2046188