FOR THE MEDICAL PRACTITIONER
Ultrasound Imaging
doi: 10.25005/2074-0581-2025-27-2-472-478
ULTRASOUND PARAMETERS OF PALMAR FIBROMATOSIS OR DUPUYTREN’S CONTRACTURE

E.K. OVCHINNIKOVA1, S.I. GILFANOV1,2, N.YU. MARKINA1,2

1Central State Medical Academy of the Department of the Administrative Directorate of the President of the Russian Federation, Moscow, Russian Federation
2Central Clinical Hospital with a Polyclinic of the Department of the Administrative Directorate of the President of the Russian Federation, Moscow, Russian Federation

Objective: To identify ultrasound diagnostic parameters that guide treatment decisions, facilitate preoperative planning, and enable evaluation of treatment outcomes of Dupuytren's contracture (DC).

Methods: The data from clinical and ultrasound examinations of 30 patients diagnosed with DC are presented, with an average age of 60.8 years. The clinical examination determined the extent of contracture and localized the lesions. Subsequently, ultrasound characteristics were assessed using multifrequency therapeutic ultrasound, including the lesion's location, size, echogenicity, density, and vascularization.

Results: The majority of the lesions (93%) were located at the level of the 4th and 5th fingers/metacarpals, directly above the flexor tendons. In 7% of cases, involvement of the synovial flexor sheath was observed. The lesions' epicenters were located at the metacarpals in 85% of cases. Average lesion dimensions were 15.8 mm in length, 5.2 mm in width, and 1.9 mm in depth. On ultrasound images, the lesions were characteristically hypoechoic. The ultrasound average elastography strain ratio index (SRI) was 4.86. Additionally, an assessment of microcirculation indicated a decrease in patients with DC.

Conclusion: The ultrasound parameters of pathologically altered palmar aponeurosis can aid in determining the appropriate treatment strategy. This approach minimizes the risk of iatrogenic complications, such as damage to the tendon and vascular-nerve bundles, by facilitating thorough preoperative planning. Additionally, these ultrasound parameters enable a more objective assessment of treatment results in the postoperative period and help predict the risk of potential contracture recurrences.

Keywords: Dupuytren's contracture, hand, palmar aponeurosis, fibromatosis, ultrasound.

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Authors' information:

Ovchinnikova Ekaterina Konstantinovna,
ostgraduate Student of the Department of Traumatology and Orthopedics, Central State Medical Academy of the Department of the Administrative Directorate of the President of the Russian Federation
ORCID ID: 0009-0006-5915-9616
E-mail: Katrin21101@mail.ru

Gilfanov Sergey Ilsuverovich,
Doctor of Medical Sciences, Full Professor, Head of the Department of Traumatology and Orthopedics, Central State Medical Academy of the Department of the Administrative Directorate of the President of the Russian Federation; Head of the Department of Traumatology and Orthopedics, Central Clinical Hospital with a Polyclinic of the Department of the Administrative Directorate of the President of the Russian Federation
ORCID ID: 0009-0006-3600-1752
E-mail: Gilfanov63@rambler.ru

Markina Natalya Yuryevna,
Candidate of Medical Sciences, Associate Professor of the Department of Diagnostic Radiology, Central State Medical Academy of the Department of the Administrative Directorate of the President of the Russian Federation; Head of the Department of Diagnostic Sonography, Central Clinical Hospital with a Polyclinic of the Department of the Administrative Directorate of the President of the Russian Federation
ORCID ID: 0009-0004-5495-6435
E-mail: Mark0711@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Ovchinnikova Ekaterina Konstantinovna
Postgraduate Student of the Department of Traumatology and Orthopedics, Central State Medical Academy of the Department of the Administrative Directorate of the President of the Russian Federation

121359, Russian Federation, Moscow, Marshala Timoshenko str., 19, str. 1А

Tel.: +7 (920) 3721529

E-mail: Katrin21101@mail.ru


This work is licensed under a Creative Commons Attribution 4.0 International License.

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