title: [Characteristics of Dupuytren's disease in women. A study of 67 cases].
abstract: OBJECTIVE
  The aim of this study was to identify the clinical differences of the Dupuytren's disease in gender. Testosterone induces an increase of the Dupuytren's fibroblast proliferation via androgen's receptors. Testosterone rate increases during pregnancy and menopausis. We also reached a link between this factors and the clinical aspects of Dupuytren' disease in the women of our study.
  
  
  METHODS
  This retrospective, comparative study was about all women and a randomized number of men, who underwent surgery for Dupuytren' disease between 1980 and 2010. We analysed all the epidemiologic and clinical data, the surgery procedures and the complications. Pre- and postoperative measurements of the extension lack of all the joints were performed with a manual goniometer. Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used to evaluate the patients function. This specific data of women were reached.
  
  
  RESULTS
  Sixty-seven women and 69 men were compared. The complex regional pain syndrome was significantly more common in women and the correction of the proximal interphalangeal joint was significantly lower in women. Recurrence rate and mean follow up were not statistically different. Mean DASH score was higher in women. We have not found any association between menopausis, pregnancy and the average age at presentation of the disease, the recurrence rate or the extension rate.
  
  
  CONCLUSIONS
  The prognosis of the Dupuytren's disease is worse in women than in men. Other studies are necessary to reach the link between the testosterone and the clinical history of the disease in women.
authors.affiliation: Service de chirurgie orthopédie, traumatologique, plastique et réadaptation fonctionnelle, hôpital Jean-Minjoz, boulevard Fleming, 25030 Besançon cedex, France. Electronic address: nicoferry@hotmail.fr.
authors.forename: N
authors.initials: N
authors.lastname: Ferry
authors.forename: G
authors.initials: G
authors.lastname: Lasserre
authors.forename: J
authors.initials: J
authors.lastname: Pauchot
authors.forename: D
authors.initials: D
authors.lastname: Lepage
authors.forename: Y
authors.initials: Y
authors.lastname: Tropet
mesh_terms: D004185:Disability Evaluation; D004387:Dupuytren Contracture / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D063868:Patient Outcome Assessment; D011379:Prognosis; D016059:Range of Motion, Articular / Q000502:physiology; D012189:Retrospective Studies; D012737:Sex Factors