Hand-arm vibration and outcomes of surgery for Dupuytren's contracture.

Occupational Medicine
Paul H C StirlingJane E McEachan

Abstract

Dupuytren's contracture was recently designated a prescribed occupational disease when it occurs in patients with previous hand-arm vibration (HAV) exposure. The aims of this study were to describe the impact of self-reported HAV exposure on upper limb function and satisfaction following surgery for Dupuytren's contracture. Paired pre- and postoperative Quick version of Disabilities of the Arm, Shoulder and Hand (QuickDASH) and patient satisfaction questionnaires were prospectively collected from all patients undergoing surgery for Dupuytren's contracture over a 6-year period. Patients self-reported HAV exposure duration. Results were available for 425 hands (65%) at mean 13 months postoperatively. There were 111 patients (26%) that reported HAV exposure. The prevalence of HAV exposure was significantly greater in male compared with female patients (32% versus 4%; P < 0.001). A statistically significant difference in preoperative (difference 7.47; 95% confidence interval 4.78-10.17; P < 0.001) and postoperative QuickDASH score (difference 6.78; 95% confidence interval 2.69-10.88; P < 0.001) was observed between the two groups, but difference in QuickDASH improvement was not significantly different (difference 1.76; 95% confiden...Continue Reading

References

May 1, 1995·The Journal of Hand Surgery·P E HiggsP M Weeks
Mar 6, 2007·The Journal of Hand Surgery, European Volume·A Zyluk, W Jagielski
Nov 2, 2013·The Journal of Orthopaedic and Sports Physical Therapy·Franco FranchignoniGiorgio Ferriero
Nov 23, 2016·The Journal of Hand Surgery, European Volume·J N RodriguesT R C Davis
Aug 5, 2017·The Journal of Hand Surgery Asian-Pacific Volume·Eitan MelamedDavid Angel
Feb 1, 2020·The Journal of Hand Surgery, European Volume·Paul H C StirlingJane E McEachan
Feb 18, 2020·Joint, Bone, Spine : Revue Du Rhumatisme·Sylvain MathieuFrédéric Dutheil

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