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Selected Instructional Course Lecture   |    
Dupuytren Disease: Anatomy, Pathology, Presentation, and Treatment
Ghazi M. Rayan, MD1
1 Upper Extremity, Hand and Microsurgery Center, Baptist Physicians Building D, 3366 N.W. Expressway, Suite 700, Oklahoma City, OK 73112
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Disclosure: The author did not receive grants or outside funding in support of his research for or preparation of this manuscript. He did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the author is affiliated or associated.
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2007 in Instructional Course Lectures, Volume 56. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Jan 01;89(1):189-198
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Extract

The disorder called Dupuytren disease has been recognized for approximately 400 years. Its presentation, although seemingly rather constant, is actually extremely variable, depending on which structures are involved. A thorough knowledge of palmar fascial anatomy is essential to the understanding of Dupuytren disease. There have been recent advances in the pathophysiology of Dupuytren disease, and these have added to our knowledge of this disorder but have not yet changed its treatment. There are two distinct clinical entities, classic Dupuytren disease and atypical, so-called non-Dupuytren palmar fascial disease1,2. These two types differ in presentation, etiology, treatment, and prognosis. Authors of future epidemio-logical and outcome studies should not confuse these two clinical entities. Surgical treatment is the conventional and most widely used method of managing Dupuytren disease.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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