The utility of DASH and Michigan scores in Dupuytren’s contracture

Abstract

Introduction. Palm fascia fibromatosis is a benign fibro-proliferative tumor (ICD - 10, M 72.0 Dupuytren's contracture (disease)). A severe form of finger contracture in Dupuytren's disease often treated with surgery based on measuring the severity of finger flexion contracture (by Alberton et al. 2014; Broekstra et al. 2015; Kang et al. 2014). Aim of study. Establishing the clinical relationship of DASH Michigan questionnaires with the clinical status of Dupuytren's contracture (DC). Methods and materials. We have proposed a study of patients with DC which consecutively was treated in the Department of Hand Surgery Department, Clinical Hospital Traumatology and Orthopedics, Chisinau in the period 2021. Primary outcomes were determined by using Disabilities of Arm and Shoulder and Hand (DASH) score and the Michigan Hand Outcomes Questionnaire. Results were shown as mean with standard deviation. Results. From 86 patients the average per group of DASH(D) and Michigan(M) Questionnaire were 30,6 ± 8,3 and 72,7 ± 9,1. When was affected only one hand, in left part the scores of D and M were (24,14%; 21 cases) 26,3±9,4 and 75,6±7,5, in the right part (32,18%; 28 cases) 32,25±9,1 and 69,8±9,7. In cases with bilateral DC (43,68%; 38 patients) the scores of D and M were 31,8±6,5 and 73,3±9,2. According by stages the scores of D and M were: II (35 cases;40,23%) 26,5±8,8 and 74,5±9,4; III (49 cases; 56,32%) 33,3±7,1 and 71,9± 9,1; IV ( 3 cases; 3,45%) 35,4±2,5 and 65,4±0,58. By gender scores of D and M were: male (68 cases; 78,2%) 29,8±8,2 and 73,6±9,3; female (19 cases; 21,8%) 33,5±8,4 and 69,8±8,3. The average age of the group is 57,83±10,2. Population from rural(49cases; 56,32%) zone scores of D and M show 31,4 ±8,2 and 72,6±10,02, but for urban zone (38 cases;43,68%) 29,53±8,5 and 72,95±8,1. Conclusions: In clinical examination of the patients with DC it is advisable to include Disabilities of Arm and Shoulder and Hand (DASH) score and the Michigan Hand Outcomes Questionnaire because they have measurable data that can be compared with posttreatment methods of DC.