title: [Lesions of the little finger in Dupuytren's disease].
abstract: One hundred and twenty six patients (148 hands) with Dupuytren's disease of the fifth finger were reviewed with an average follow-up of 5 years. Twenty-nine dermo-fasciectomies were performed on the palmar area of the fifth finger. The improvement in the MP joint was complete in all cases. A classification in to 4 grades according to the degree of pre- and postoperative retraction is proposed. The average improvement at the PIP joint was 50 degrees. 26 recurrences were observed. The recurrence rate was similar with or without a skin graft but the functional result was better with a digital graft, as recurrences were located away from the PIP joint.
authors.affiliation: Service de Chirurgie Orthopédique, Traumatologique et Plastique, CHU Hôpital Jean Minjoz, Besançon.
authors.forename: Y
authors.initials: Y
authors.lastname: Tropet
authors.forename: D
authors.initials: D
authors.lastname: Deck
authors.forename: P
authors.initials: P
authors.lastname: Vichard
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D004387:Dupuytren Contracture / Q000503:physiopathology / Q000601:surgery*; D005205:Fascia / Q000637:transplantation; D005260:Female; D005384:Finger Joint / Q000503:physiopathology / Q000601:surgery; D005385:Fingers / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008662:Metacarpophalangeal Joint / Q000503:physiopathology / Q000601:surgery; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D016038:Skin Transplantation