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The analysis of morphological features and ultrasonographic characteristics of Dupuytren’s disease

Year 2022, Volume: 16 Issue: 1, 26 - 32, 20.04.2022

Abstract

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.

References

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  • Botar Jid C, Vasilescu D, Damian L, Dumitriu D, Ciurea A, Dudea SM. Musculoskeletal sonoelastography. Pictorial essay. Med Ultrason 2012;14:239–45.
  • Balaban M, Cilengir AH, Idilman IS. Evaluation of tendon disorders with ultrasonography and elastography. J Ultrasound Med 2021;40:1267–86.
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  • Creteur V, Madani A, Gosset N. Ultrasound imaging of Dupuytren’s contracture. J Radiol 2010;91:687–91.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
Year 2022, Volume: 16 Issue: 1, 26 - 32, 20.04.2022

Abstract

References

  • 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.
  • Stewart BD, Nascimento AF. Palmar and plantar fibromatosis: a review. J Pathol Transl Med 2021;55:265–70.
  • 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.
  • Robbin MR, Murphey MD, Temple HT, Kransdorf MJ, Choi JJ. Imaging of musculoskeletal fibromatosis. Radiographics 2001;21:585–600.
  • Rayan GM. Dupuytren disease: anatomy, pathology, presentation, and treatment. J Bone Joint Surg Am 2007;89:189–98.
  • 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.
  • 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.
  • Botar Jid C, Vasilescu D, Damian L, Dumitriu D, Ciurea A, Dudea SM. Musculoskeletal sonoelastography. Pictorial essay. Med Ultrason 2012;14:239–45.
  • Balaban M, Cilengir AH, Idilman IS. Evaluation of tendon disorders with ultrasonography and elastography. J Ultrasound Med 2021;40:1267–86.
  • Benson LS, Williams CS, Kahle M. Dupuytren’s contracture. J Am Acad Orthop Surg 1998;6:24–35.
  • Creteur V, Madani A, Gosset N. Ultrasound imaging of Dupuytren’s contracture. J Radiol 2010;91:687–91.
  • 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.
  • 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.
  • 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.
  • 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.
  • 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.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Articles
Authors

Atilla Hikmet Çilengir 0000-0002-4073-9665

Mehtap Balaban This is me 0000-0002-6752-6838

Publication Date April 20, 2022
Published in Issue Year 2022 Volume: 16 Issue: 1

Cite

APA Çilengir, A. H., & Balaban, M. (2022). The analysis of morphological features and ultrasonographic characteristics of Dupuytren’s disease. Anatomy, 16(1), 26-32.
AMA Çilengir AH, Balaban M. The analysis of morphological features and ultrasonographic characteristics of Dupuytren’s disease. Anatomy. April 2022;16(1):26-32.
Chicago Çilengir, Atilla Hikmet, and Mehtap Balaban. “The Analysis of Morphological Features and Ultrasonographic Characteristics of Dupuytren’s Disease”. Anatomy 16, no. 1 (April 2022): 26-32.
EndNote Çilengir AH, Balaban M (April 1, 2022) The analysis of morphological features and ultrasonographic characteristics of Dupuytren’s disease. Anatomy 16 1 26–32.
IEEE A. H. Çilengir and M. Balaban, “The analysis of morphological features and ultrasonographic characteristics of Dupuytren’s disease”, Anatomy, vol. 16, no. 1, pp. 26–32, 2022.
ISNAD Çilengir, Atilla Hikmet - Balaban, Mehtap. “The Analysis of Morphological Features and Ultrasonographic Characteristics of Dupuytren’s Disease”. Anatomy 16/1 (April 2022), 26-32.
JAMA Çilengir AH, Balaban M. The analysis of morphological features and ultrasonographic characteristics of Dupuytren’s disease. Anatomy. 2022;16:26–32.
MLA Çilengir, Atilla Hikmet and Mehtap Balaban. “The Analysis of Morphological Features and Ultrasonographic Characteristics of Dupuytren’s Disease”. Anatomy, vol. 16, no. 1, 2022, pp. 26-32.
Vancouver Çilengir AH, Balaban M. The analysis of morphological features and ultrasonographic characteristics of Dupuytren’s disease. Anatomy. 2022;16(1):26-32.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).