Classification
A classification into stages is necessary to establish indications and to assess the treatment outcome.
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Springer-Verlag Wien GmbH
Peter Brenner, MD PhD
Professor of Plastic Surgery and Hand Surgery, Catholic University of Leuven, Belgium
Ghazi M. Rayan, MD
Head of the Department of Hand Surgery, University of Oklahoma, USA
Translated from German by Birte Twisselmann, London Language Editing by Fred Splittgerber, Mühlheim Originally published as Morbus Dupuytren. Ein chirurgisches Therapiekonzept © 2003 Springer-Verlag Wien New York
This book was supported by Aventis Behring, Liederbach, Germany, Fehling Instruments, Karlstein, Germany and by the Wiener Städtische Versicherung, Vienna, Austria This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machines or similar means, and storage in data banks. © 2003 Springer-Verlag Wien Originally published by Springer-Verlag Wien in 2003 Softcover reprint of the hardcover 1st edition 2003 Product Liability: The publisher can give no guarantee for all the information contained in this book. This does also refer to information about drug dosage and application thereof. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature. The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Cover illustration: Jakob Gratzer (Total fasciectomy - intraoperative situs) Illustrations: Jakob Gratzer, Laufenburg, and Hanna Schimek, Wien Typesetting: Grafik Rödl, Pottendorf Printing and binding: A. Holzhausens Nfg., Wien Printed on acid-free and chlorine-free bleached paper SPIN: 10777691 CIP data applied for With 57 partly coloured Figures
ISBN 978-3-7091-7274-2 ISBN 978-3-7091-6061-9 (eBook) DOI 10.1007/978-3-7091-6061-9
Foreword
Dupuytren's disease is a fascinating disorder. It does not match any known textbook pattern: It is neither inflammatory in nature, nor a tumor. In addition, it is not induced by trauma, and it does not represent a malformation in the strict sense of the word, although hereditary factors do playa role. Every year, more than 30 papers are published on this topic. Any etiological or pathological factor imaginable has been made responsible. When the field of bacteriology was in its heyday, a specific pathogen was believed to cause Dupuytren's contracture. Later, the blame was obviously on a virus; and today I feel reassured to learn from this excellent book that there is a relationship between HIV and Dupuytren's disease. _ During the thirties and forties, nearly all surgeons of later fame published some paper on Dupuytren's disease. A small number of these surgeons stuck to this topic and dedicated most of their life's work to the study of Dupuytren's disease, as Dr. Brenner and myself did. Anyone who has been engaged in the study of Dupuytren's con
