The diagnosis and treatment of Dupuytren' s contracture combined with carpal tunnel syndrome

Abstract

Objective To investigate the correlation of Dupuytren's contracture and carpal tunnel syndrome and evaluate the clinical outcomes of treating both diseases in one surgery. Methods From March 2003 to August 2011,8 cases of Dupuytren's contracture combined with carpal tunnel syndrome were surgically treated.Through an M-shaped palm incision and a Y-shaped incision extended to the finger,the palmar aponeurosis was partially removed and the flexor retinaculum was cut open to release the median nerve at the same time. Results Primary wound healing was achieved in all of the eight cases.There were no flap edge necrosis and hematoma formation.Numbness of the thumb,index finger and middle finger gradually reduced postoperatively.The numbness disappeared after 3 months.All patients were follow-up for 6 months to 2 years with no recurrence. Conclusion When more predisposing factors of both diseases occur in one patient,the probability of the occurrence of both Dupuytren' s contractue and carpal tunnel syndrome in one patient also increases significantly.The two diseases can be treated in one surgery. Key words: Dupuytren's contracture; Carpal tunnel syndrome; Surgical procedures,operative