TY - JOUR T1 - The analysis of morphological features and ultrasonographic characteristics of Dupuytren’s disease AU - Çilengir, Atilla Hikmet AU - Balaban, Mehtap PY - 2022 DA - April JF - Anatomy JO - Anatomy PB - Society of Anatomy and Clinical Anatomy WT - DergiPark SN - 1308-8459 SP - 26 EP - 32 VL - 16 IS - 1 LA - en AB - Objectives: To detect B-Mode ultrasonography, color Doppler ultrasonography, and sonoelastography findings of the Dupuytren’s disease, and to determine the differences of sonographic imaging, demographic and clinical data. Methods: A total of 88 patients with unilateral lesion were included. Each lesion was evaluated with B-Mode ultrasonography, color Doppler ultrasonography, and sonoelastography. The location, size, morphology, and echogenicity of the lesions were analyzed by B-mode ultrasonography, the presence of vascularization by color Doppler ultrasonography, and the elasticity by sonoelastography, retrospectively. The differences between sonographic findings, demographic and clinical data were evaluated. Results: Of the patients, 36.4% were women and 63.6% were men, with a median age of 61 (interquartile range: 9). The majority of the lesions (87.5%) were at the level of the 3rd and 4th finger/metacarpal. Median longitudinal dimension was 6.75mm (interquartile range: 4.32), mediolateral dimension was 2.5 mm (interquartile range: 1.77). Of the lesions, 67.1% were nodular shaped, 73.9% were hypoechoic, and 87.5% were hypovascular. All lesions were hard coded on sonoelastography. The cord morphology, extension to the tendon, and contracture tend to be together, and lesions with these were mostly iso-hyperechoic. Conclusion: Dupuytren’s disease lesions were mostly nodular, hypoechoic, hypovascular, and stiff. Ultrasonographic examination was sufficient and successful in the diagnosis of Dupuytren’s disease. KW - color doppler ultrasonography KW - Dupuytren’s disease KW - morphology KW - sonoelastography KW - ultrasonography CR - Morris G, Jacobson JA, Kalume Brigido M, Gaetke-Udager K, Yablon CM, Dong Q. Ultrasound Features of palmar fibromatosis or Dupuytren contracture. J Ultrasound Med 2019;38:387–92. CR - Stewart BD, Nascimento AF. Palmar and plantar fibromatosis: a review. J Pathol Transl Med 2021;55:265–70. CR - Murphey MD, Ruble CM, Tyszko SM, Zbojniewicz AM, Potter BK, Miettinen M. From the archives of the AFIP: musculoskeletal fibromatoses: radiologic-pathologic correlation. Radiographics 2009;29:2143–73. CR - Robbin MR, Murphey MD, Temple HT, Kransdorf MJ, Choi JJ. Imaging of musculoskeletal fibromatosis. Radiographics 2001;21:585–600. CR - Rayan GM. Dupuytren disease: anatomy, pathology, presentation, and treatment. J Bone Joint Surg Am 2007;89:189–98. CR - Sayadi LR, Alhunayan D, Sarantopoulos N, Kong C, Condamoor S, Sayadi J, Banyard DA, Shaterian A, Leis A, Evans GRD, Widgerow AD. The molecular pathogenesis of Dupuytren disease: review of the literature and suggested new approaches to treatment. Ann Plast Surg 2019;83:594–600. CR - Molenkamp S, van Straalen RJM, Werker PMN, Broekstra DC. Imaging for Dupuytren disease: a systematic review of the literature. BMC Musculoskelet Disord 2019;20:224. CR - Botar Jid C, Vasilescu D, Damian L, Dumitriu D, Ciurea A, Dudea SM. Musculoskeletal sonoelastography. Pictorial essay. Med Ultrason 2012;14:239–45. CR - Balaban M, Cilengir AH, Idilman IS. Evaluation of tendon disorders with ultrasonography and elastography. J Ultrasound Med 2021;40:1267–86. CR - Benson LS, Williams CS, Kahle M. Dupuytren’s contracture. J Am Acad Orthop Surg 1998;6:24–35. CR - Creteur V, Madani A, Gosset N. Ultrasound imaging of Dupuytren’s contracture. J Radiol 2010;91:687–91. CR - Yacoe ME, Bergman AG, Ladd AL, Hellman BH. Dupuytren’s contracture: MR imaging findings and correlation between MR signal intensity and cellularity of lesions. AJR Am J Roentgenol 1993;160:813–7. CR - Molenkamp S, Broekstra DC, Werker PMN. Echogenicity of palmar Dupuytren’s nodules is not a predictor of disease progression in terms of increase in nodule size. Plast Reconstr Surg. 2019;143:814–20. CR - Molenkamp S, Song W, Bloembergen M, Broekstra DC, Werker PMN. Echogenicity of Dupuytren’s nodules is correlated to myofibroblast load and nodule hardness. J Hand Surg Eur Vol 2022;47:280–7. CR - Ball C, Izadi D, Nanchahal J. Tonometry as an outcome measure for the treatment of early Dupuytren Disease. In: Werker P, Dias J, Eaton C, Reichert B, Wach W, editors. Dupuytren disease and related diseases – the cutting edge. New York: Springer; 2017. p. 205–9. CR - Ulusoy A, Tıkız C, Örgüç Ş. Dupuytren’s contracture with rare bilateral thumb and little finger involvement demonstrated by ultrasound elastography. Arch Rheumatol 2015;30:357–60. UR - https://dergipark.org.tr/en/pub/anatomy/article/1206089 L1 - https://dergipark.org.tr/en/download/article-file/2778073 ER -