Hueston J T
J Hand Surg Br. 1992 Aug;17(4):453-7. doi: 10.1016/s0266-7681(05)80273-6.
The phenomenon of clinical regression of Dupuytren's contracture is described and discussed. It is already recognized and used in fasciotomy where it follows the release of longitudinal tension. The quite extraordinary resolution produced by continuous passive skeletal traction in extension is presented. Regression beneath grafted skin is described and discussed with its clinical implications. The generally accepted view of Dupuytren's contracture being "irreversible" now presents a challenge for further clinical and pharmacological studies. The possibility of non-surgical control does exist.
本文描述并讨论了杜普伊特伦挛缩症临床消退的现象。它已在筋膜切开术中得到认可并应用,这种消退发生在纵向张力解除之后。文中介绍了持续被动伸展性骨骼牵引所产生的相当显著的消退效果。还描述并讨论了移植皮肤下的消退情况及其临床意义。目前普遍认为杜普伊特伦挛缩症是“不可逆的”,这一观点对进一步的临床和药理学研究提出了挑战。非手术控制的可能性确实存在。