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

Yıl 2022, Cilt: 16 Sayı: 1, 26 - 32, 20.04.2022

Atilla Hikmet Çilengir , Mehtap Balaban

Öz

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.

Anahtar Kelimeler

color doppler ultrasonography, Dupuytren’s disease, morphology, sonoelastography, ultrasonography

Kaynakça

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