Outcomes , such as range of motion , recurrence , and clinical success , were frequently defined , however many different definitions were used .
This systematic review summarizes the outcome reporting st and ards in Dupuytren ’s disease treatment research .
Skin involvement in Dupuytren’s disease
Whether the palmar skin has a role in the development , propagation or recurrence of Dupuytren ’s disease remains unclear . Clinical assessment for skin involvement is difficult and its correlation with histology uncertain . We prospect ively biopsied the palmar skin of consecutive patients undergoing single digit fasciectomy ( for primary Dupuytren ’s disease without clinical ly involved skin ) and dermofasciectomy ( for clinical ly involved skin or recurrence ) in order to investigate this relationship . We found dermal fibromatosis in 22 of 44 patients ( 50 % ) undergoing fasciectomy and 41 of 59 patients ( 70 % ) undergoing dermofasciectomy .  Dermal fibromatosis appeared to be associated with greater preoperative angular deformity , presence of palmar nodules and occupations involving manual labour . Dermal fibromatosis exists in the absence of clinical features of skin involvement and we hypothesize that the skin may have a greater role in the development and propagation of Dupuytren ’s disease than previously thought . Level of evidence :
Outcomes , such as range of motion , recurrence , and clinical success , were frequently defined , however many different definitions were used .
This systematic review summarizes the outcome reporting st and ards in Dupuytren ’s disease treatment research .