2/2023

Objective and subjective assessment of Dupuytren’s contracture

J.Menoušek1,2, Z. Dvořák1,2 T. Šácha2

1 Department of Plastic and Aesthetic Surgery, St. Anne’s University Hospital in Brno, Czech Republic

2 Faculty of Medicine, Masaryk University, Brno, Czech Republic

Summary

This paper describes the evaluation options of Dupuytren’s contracture by subjective and objective methods. There are various classification schemes named after their authors, including graphical representation for objective evaluation of the disease. Subjective assessment was performed in the form of a questionnaire for patients. The QuickDASH with a small specification for Dupuytren’s contracture is the most commonly used questionnaire. The Southampton Dupuytren’s Scoring Scheme questionnaire appears to be a higher specification. The classifications allow evaluation of treatment success to determine prognosis of the disease. The analysis of articles is based on PubMed search from the years 1967–2022, with 28 relevant articles were retrieved. Based on this analysis, the Tubiana classification appears to be the most appropriate one for patients with Dupuytren’s contracture. Of patient questionnaires, the Southampton Dupuytren’s Scoring Scheme meets these parameters.

Key words

Dupuytren’s contracture – classification – objective and subjective scoring – DASH – QuickDASH – Michigan Hand Questionnaire – Southampton Dupuytren’s Scoring Scheme (SDSS ) – ChatGPT – OpenAI

Are you a healthcare professional?

I am a professional pursuant to Act No. 2a, Rule 40/1995 Coll., describing commercial advertising regulations, as amended; I am therefore authorized to prescribe or sell or distribute medicinal products.