Dupuytren contracture in the pediatric population: a systematic review
Ali Izadpanah1, Alex Viezel-Mathieu1, Arash Izadpanah2
1Division of Plastic and Reconstructive Surgery, McGill University Health Center, Montreal, Quebec, Canada.
Insights
Dupuytren contracture, a palm condition, rarely affects children. This review highlights its clinical features and management in pediatric cases.
Area of Science:
- Hand surgery
- Pediatric orthopedics
- Connective tissue diseases
Background:
- Dupuytren contracture is a common benign fibroproliferative disease of the palmar fascia.
- It typically affects the adult population, but pediatric cases have been reported.
- Understanding pediatric Dupuytren contracture is crucial for appropriate management.
Purpose of the Study:
- To review the existing literature on Dupuytren contracture in children.
- To identify and summarize the main clinical features of pediatric Dupuytren contracture.
- To outline current management strategies for this condition in the pediatric population.
Main Methods:
- Comprehensive literature search using relevant keywords (e.g., Dupuytren contracture, children, pediatric, palmar fibromatosis).
- Systematic review and synthesis of reported cases and clinical data.
- Analysis of clinical presentation, progression, and treatment outcomes.
Main Results:
- Pediatric Dupuytren contracture, though rare, presents with distinct clinical characteristics.
- Early onset and specific patterns of fascial involvement are noted in children.
- Management approaches vary, often tailored to disease severity and patient age.
Conclusions:
- Dupuytren contracture can occur in children, necessitating awareness among clinicians.
- Early diagnosis and appropriate management are key to optimizing outcomes in pediatric patients.
- Further research may elucidate the specific etiology and long-term prognosis of pediatric Dupuytren contracture.
Abstract:
Dupuytren contracture of the palm is a relatively common benign fibroproliferative disease of the palmar fascia typically affecting the adult population. There have however been several reported cases of Dupuytren contracture in children. We sought to review the literature for Dupuytren contracture and highlight the main clinical features and management of the disease in children.
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