Imaging for Dupuytren disease: a systematic review of the literature

BMC Musculoskeletal Disorders

Sanne Molenkamp¹  Dieuwke C. Broekstra¹  Paul M. N. Werker¹  Roel J. M. van Straalen¹ 

[1]0000 0000 9558 4598, grid.4494.d, Department of Plastic surgery, University of Groningen, University Medical Center Groningen, BB81 Hanzeplein 1, 9713 GZ, Groningen, The Netherlands

关键词: Dupuytren contracture;    Ultrasonography;    Magnetic resonance imaging;    Imaging;    Systematic review;   

DOI  :  10.1186/s12891-019-2606-0

来源: publisher

【 摘 要 】

BackgroundAs treatment of Dupuytren disease (DD) is expected to shift towards prevention of progression, the use of imaging in patients with DD becomes more important. In this systematic review an overview is given of the different methods for and applications of imaging for DD that have been described.MethodsThe MEDLINE and EMBASE databases were searched for articles reporting the use of imaging in patients with DD, published before May 17, 2018. Studies were systematically examined in two rounds by two observers according to the PRISMA systematic. All studies containing original data on imaging for DD were considered for inclusion.ResultsThree hundred and seven unique studies were identified, of which 23 were included in the study. Only studies on the use of ultrasound (US) and magnetic resonance imaging (MRI) were identified. Broadly, articles could be divided into 5 categories. Seven studies were found on diagnosis, two on measurement of disease extent, four on measurement of disease activity, seven on guidance of minimally invasive procedures and five studies on evaluation of treatment. According to the Oxford CEBM, the levels of evidence were low, ranging from level 3 to 5.ConclusionsA variety of applications for US and MRI for patients with DD has been described. Based on the results of this review, the largest value for imaging lies in the measurement of disease activity and the follow-up of treatment of patients with early stage disease. Unfortunately, the overall level of evidence of the available literature was low. Future research is necessary to define the exact value of US and MRI in the management of patients with DD.

【 授权许可】

CC BY