Dupuytren Contracture

Dupuytren Contracture (Dupuytren disease) — Disease Characteristics Research Report

2026-05-27
Falcon MONDO:0006345 Model: Edison Scientific Literature 54 citations

Dupuytren Contracture (Dupuytren disease) — Disease Characteristics Research Report

Executive overview

Dupuytren contracture is a chronic fibroproliferative/fibrotic disorder of the palmar fascia (palmar aponeurosis) that forms palmar nodules and cords and can progress to fixed flexion contractures, classically affecting the ring and little fingers and impairing hand function. (khaliq2024dupuytrenscontracturea pages 1-2)

Recent high-impact genetic studies (2023–2024) reinforce that Dupuytren disease is highly heritable and polygenic, with risk loci converging on fibroblast/myofibroblast biology and pro-fibrotic signaling (e.g., TGF-β; developmental pathways Hedgehog/Notch; cell–matrix adhesion). (riesmeijer2024agenomewideassociation pages 1-2, riesmeijer2024agenomewideassociation pages 2-4)

Clinically, minimally invasive treatments (collagenase clostridium histolyticum injection and percutaneous needle aponeurotomy/fasciotomy) are widely used, especially for earlier disease, but recurrence is common; surgery (limited fasciectomy/dermofasciectomy) remains standard for advanced contracture. (khaliq2024dupuytrenscontracturea pages 4-5, khaliq2024dupuytrenscontracturea pages 5-6)


1. Disease information

Definition and current understanding

Dupuytren’s contracture is described as a “chronic fibroproliferative disease of the palmar fascia” causing progressive flexion deformities via development of fibrotic cords. (khaliq2024dupuytrenscontracturea pages 1-2)

Key identifiers and nomenclature

Table (click to expand)
Item Value URL / year Evidence
Preferred disease name Dupuytren contracture Cureus review, 2024: https://doi.org/10.7759/cureus.74945 (khaliq2024dupuytrenscontracturea pages 1-2)
Alternate disease name Dupuytren disease ClinicalTrials.gov records, 2024: https://clinicaltrials.gov/study/NCT06321991 ; 2024: https://clinicaltrials.gov/study/NCT07470684 (NCT06321991 chunk 2, NCT07470684 chunk 2)
Other name variants / synonyms in available evidence Dupuytren's contracture; Dupuytren's disease; DD; M. Dupuytren; Morbus Dupuytren ClinicalTrials.gov records, 2013-2024: https://clinicaltrials.gov/study/NCT01876498 ; https://clinicaltrials.gov/study/NCT06321991 (NCT06321991 chunk 2, NCT01876498 chunk 1)
ICD-10 code M72.0 (Palmar fascial fibromatosis / Dupuytren contracture in hospital coding context) BMC Musculoskelet Disord, 2011: https://doi.org/10.1186/1471-2474-12-73 (khaliq2024dupuytrenscontracturea pages 6-7)
MeSH term Dupuytren Contracture ClinicalTrials.gov MeSH mapping, 2021-2025: https://clinicaltrials.gov/study/NCT04874870 ; https://clinicaltrials.gov/study/NCT06956027 (NCT04874870 chunk 2, NCT06956027 chunk 2)
MeSH ID D004387 ClinicalTrials.gov MeSH mapping, 2017-2024: https://clinicaltrials.gov/study/NCT03192020 ; https://clinicaltrials.gov/study/NCT06321991 (NCT03192020 chunk 3, NCT06321991 chunk 2)
Typical affected anatomy Palmar fascia / palmar aponeurosis of the hand; progressive flexion contractures, especially ring and little fingers; MCP and PIP joints commonly involved Cureus review, 2024: https://doi.org/10.7759/cureus.74945 ; Cureus meta-analysis, 2024: https://doi.org/10.7759/cureus.53147 (khaliq2024dupuytrenscontracturea pages 1-2, alhebshi2024comparingcomplicationsand pages 1-2)
Disease classification note Chronic fibroproliferative / fibrotic disorder of the palmar fascia Cureus review, 2024: https://doi.org/10.7759/cureus.74945 (khaliq2024dupuytrenscontracturea pages 1-2)
MONDO / Orphanet / OMIM in available evidence Not reported in the retrieved evidence/context provided for this task; would require external ontology lookup beyond available context Based on available retrieved papers/trial records only, 2013-2025 (NCT06321991 chunk 2, khaliq2024dupuytrenscontracturea pages 4-5, NCT06142929 chunk 2)

Table: This table summarizes the core identifiers and naming conventions for Dupuytren contracture/disease from the retrieved evidence. It also flags that MONDO, Orphanet, and OMIM identifiers were not present in the available context and would need dedicated ontology lookup.

Notes/limitations: MONDO, Orphanet, and OMIM identifiers were not present in the retrieved full-text evidence for this run; adding these would require dedicated ontology lookup beyond the current context. (NCT06321991 chunk 2, khaliq2024dupuytrenscontracturea pages 4-5)

Disease information source type

Evidence in this report comes from aggregated resources: peer-reviewed reviews/meta-analyses and large biobank GWAS/meta-analyses; administrative coding studies (England HES) are also used for utilization/costs. (gerber2011dupuytrenscontracturea pages 1-2, riesmeijer2024agenomewideassociation pages 1-2)


2. Etiology

Disease causal factors (multifactorial)

Dupuytren disease is multifactorial with strong genetic predisposition plus environmental/occupational and lifestyle contributions. A 2024 meta-GWAS frames the disorder as heritable and fibrotic, and also cites established non-genetic risk factors (age, male sex, smoking, alcohol, manual work). (riesmeijer2024agenomewideassociation pages 1-2)

Risk factors (genetic)

2024 large meta-GWAS (primary): - Design: 11,320 cases, 47,023 controls; 8,123,121 variants. (riesmeijer2024agenomewideassociation pages 1-2) - Findings: 85 genome-wide significant SNPs in 56 loci (11 novel); 24 additional secondary signals in 12 known loci; loci/PRS explain 13.3–38.1% of disease variance (cohort-dependent). (riesmeijer2024agenomewideassociation pages 1-2, riesmeijer2024agenomewideassociation pages 2-4) - Genetic correlations: frozen shoulder r=0.30 (p=1.9×10−6); BMI r=−0.14 (p=1.2×10−8); HDL r=0.12 (p=3.6×10−5). (riesmeijer2024agenomewideassociation pages 2-4)

2023 biobank meta-analysis (Neandertal-derived risk factors): - Design: 7,871 cases, 645,880 controls. (agren2023majorgeneticrisk pages 1-2) - Findings: 61 genome-wide significant loci; 3 loci harbor Neandertal-derived risk alleles; carrying all 3 Neandertal risk alleles OR=2.83 (95% CI 2.62–3.05). (agren2023majorgeneticrisk pages 2-3)

ECM gene polymorphisms (case-control, Lithuania): - CHST6 rs977987 minor T allele associated with risk (~1.404-fold per minor allele; TT genotype ~1.7× more likely). (samulenas2022theroleof pages 7-8) - MMP14 rs1042704 AA genotype associated with earlier onset and ~2.16-fold increased odds. (samulenas2022theroleof pages 7-8)

Risk factors (environmental/lifestyle/occupational)

Protective factors

Genetic analyses suggest adiposity is “causally protective” and show negative genetic correlation with BMI. (riesmeijer2024agenomewideassociation pages 1-2, riesmeijer2024agenomewideassociation pages 2-4)

Gene–environment interactions

A specific GxE interaction was quantified with MMP14 rs1042704 and smoking/manual labor exposures (above), providing direct evidence that inherited susceptibility can amplify occupational/lifestyle risks. (samulenas2022theroleof pages 7-8, samulenas2022theroleof pages 1-2)


3. Phenotypes

Core phenotypes and characteristics

Staging / severity

Tubiana / TPED staging (total extension deficit across MCP+PIP+DIP): - Stage I: 0–45° - Stage II: 45–90° - Stage III: 90–135° - Stage IV: >135° Also includes Stage N (nodule without contracture). (khaliq2024dupuytrenscontracturea pages 4-5)

Quality of life impact

PROMs used to quantify patient-perceived function/impact include DASH, Michigan Hand Outcomes Questionnaire, and Patient Evaluation Measure; advanced-disease percutaneous treatment series used quickDASH and URAM. (khaliq2024dupuytrenscontracturea pages 4-5, basile2024challengesandinnovations pages 1-2)

Suggested HPO terms (examples)

(Provided as ontology suggestions; exact IDs not retrieved in current context) - Palmar nodule - Palmar fibromatosis / palmar cord - Finger flexion contracture - Decreased range of motion of finger joints (MCP/PIP/DIP) - Hand function impairment - Skin dimpling of palm (as described clinically) (khaliq2024dupuytrenscontracturea pages 2-4, khaliq2024dupuytrenscontracturea pages 4-5)


4. Genetic / molecular information

Causal genes vs susceptibility architecture

Dupuytren disease is best supported as a polygenic complex trait rather than a single-gene Mendelian disorder, with dozens of loci and substantial variance explained by common variants in large GWAS. (riesmeijer2024agenomewideassociation pages 1-2, riesmeijer2024agenomewideassociation pages 2-4)

Notable genes/variants highlighted in recent studies

Epigenetics / chromosomal abnormalities

The available evidence did not provide extractable epigenetic profiling or population-scale chromosomal abnormality rates. A 2024 genetics review excerpt referenced cytogenetic findings (e.g., trisomy 7/8, loss of Y) but without study-level quantitative support in the retrieved chunk. (aissvarya2024moleculargeneticsof pages 1-2)


5. Environmental information

Environmental and occupational factors

Manual work exposures and hand-transmitted vibration are discussed in occupational-health oriented sources; the extracted evidence supports risk elevation for vibration-exposed workers (approximately doubled risk in summarized meta-analytic statements), though this run did not retrieve the underlying primary study effect estimates. (nilssonUnknownyeardupuytrenssjukdomi pages 35-38)

Lifestyle factors

Smoking and alcohol are repeatedly cited as associated factors; smoking has quantified effect sizes in Samulėnas et al. (samulenas2022theroleof pages 7-8, riesmeijer2024agenomewideassociation pages 1-2)

Infectious agents

No infectious etiology evidence was found; Dupuytren disease is not presented as an infectious disorder in the retrieved sources. (khaliq2024dupuytrenscontracturea pages 1-2)


6. Mechanism / pathophysiology

Mechanistic causal chain (current understanding)

A consistent chain across recent reviews: 1) Proliferative phase: fibroblast proliferation and nodule formation. (khaliq2024dupuytrenscontracturea pages 2-4) 2) Myofibroblast differentiation with production of extracellular matrix, “particularly type III collagen,” leading to cord formation. (khaliq2024dupuytrenscontracturea pages 2-4) 3) Involutional phase: myofibroblasts align along stress lines, contract, and shorten cords, producing progressive flexion deformity. (khaliq2024dupuytrenscontracturea pages 2-4, alhebshi2024comparingcomplicationsand pages 1-2) 4) Residual phase: cords become relatively acellular but remain thickened/contracted, yielding fixed contracture. (khaliq2024dupuytrenscontracturea pages 2-4, alhebshi2024comparingcomplicationsand pages 1-2)

Key pathways and mediators

Cell types (with CL suggestions)

Evidence consistently highlights fibroblasts and myofibroblasts as central effector populations, with cell-type prioritization/association in genetics and mechanistic reviews. (riesmeijer2024agenomewideassociation pages 2-4, alhebshi2024comparingcomplicationsand pages 1-2) - Suggested Cell Ontology terms: fibroblast; myofibroblast; macrophage (as implicated immune correlate). (gelbard2021fibroproliferativedisordersand pages 5-6, riesmeijer2024agenomewideassociation pages 2-4)

GO biological process suggestions (examples)


7. Anatomical structures affected

Primary anatomical sites

UBERON suggestions (examples; IDs not retrieved in current context): palmar fascia; hand; finger; metacarpophalangeal joint; proximal interphalangeal joint; distal interphalangeal joint. (khaliq2024dupuytrenscontracturea pages 4-5, khaliq2024dupuytrenscontracturea pages 1-2)


8. Temporal development

Onset

Typical onset is after age 40; prevalence increases with age and may reach ~20% in men over 60 in high-prevalence populations. (khaliq2024dupuytrenscontracturea pages 1-2)

Progression

Progression is often insidious and variable; young age at onset and strong family history are associated with more aggressive disease and higher recurrence after treatment. (khaliq2024dupuytrenscontracturea pages 1-2)


9. Inheritance and population

Epidemiology and demographics

Table (click to expand)
Domain Finding (with numbers) Population/study design Publication date URL PMID Evidence IDs
Epidemiology / demographics Prevalence reported at ~3%–6% in people of European ancestry; men are 2–7 times more likely to be affected; onset usually after age 40; up to 20% of men >60 years may be affected Narrative review of current literature 2024-12 https://doi.org/10.7759/cureus.74945 (khaliq2024dupuytrenscontracturea pages 1-2)
Epidemiology / ancestry Prevalence estimates in a 2023 meta-analysis of 3 biobanks: 0.73% (95% CI 0.72–0.75%) in primarily European ancestry vs 0.13% (95% CI 0.12–0.14%) in primarily African ancestry; authors note up to ~30% of men over 60 in northern Europe Meta-analysis of 3 biobanks; 7,871 cases, 645,880 controls 2023-06 https://doi.org/10.1093/molbev/msad130 (agren2023majorgeneticrisk pages 1-2, agren2023majorgeneticrisk pages 2-3)
Epidemiology / range in literature Reported prevalence ranges widely from 2% to 42%, increasing with age and higher in males and Northern European populations Systematic review/meta-analysis of treatment studies 2024-01 https://doi.org/10.7759/cureus.53147 (alhebshi2024comparingcomplicationsand pages 1-2)
Healthcare burden In England Hospital Episode Statistics, 75,157 admissions were recorded over 5 years (64,506 analyzed), averaging 12,901 admissions/year Retrospective administrative database analysis (England NHS HES) 2011-04 https://doi.org/10.1186/1471-2474-12-73 (gerber2011dupuytrenscontracturea pages 1-2, gerber2011dupuytrenscontracturea pages 2-4)
Healthcare burden / utilization Day-case management increased from 42% to 62% between 2003–2004 and 2007–2008; mean inpatient stay fell from 1.48±1.4 to 1.03±1.2 days; repeat admissions rose from 5.5% to 26.1% Retrospective administrative database analysis (England NHS HES) 2011-04 https://doi.org/10.1186/1471-2474-12-73 (gerber2011dupuytrenscontracturea pages 1-2, gerber2011dupuytrenscontracturea pages 2-4)
Healthcare burden / costs Estimated NHS costs for 2010–2011 were £41,576,141; mean per-patient costs £2,885 (day case) and £3,534 (inpatient); procedure-specific costs ranged £2,736–£9,210 Retrospective administrative database analysis (England NHS HES) 2011-04 https://doi.org/10.1186/1471-2474-12-73 (gerber2011dupuytrenscontracturea pages 1-2, gerber2011dupuytrenscontracturea pages 2-4)
Genetic architecture Largest recent DD meta-GWAS analyzed 11,320 cases and 47,023 controls across 8,123,121 variants; identified 85 genome-wide significant SNPs in 56 loci, including 11 novel loci and 24 secondary hits in 12 known loci GWAS meta-analysis 2024-01 https://doi.org/10.1038/s41467-023-44451-0 (riesmeijer2024agenomewideassociation pages 1-2, riesmeijer2024agenomewideassociation pages 2-4)
Genetic architecture Polygenic risk scores/loci explained 13.3%–38.1% of disease variance across cohorts; prior known variants explained ~11.3%; broad-sense heritability estimated at ~80%, with ~67% attributable to common variants GWAS meta-analysis with PRS; background synthesis from prior genetic studies 2024-01 https://doi.org/10.1038/s41467-023-44451-0 (riesmeijer2024agenomewideassociation pages 1-2, riesmeijer2024agenomewideassociation pages 2-4)
Genetic architecture / pathways Gene prioritization implicated Hedgehog and Notch signaling; enrichment also highlighted TGF-β signaling, epithelial cell migration, and cell–matrix adhesion; fibroblasts and myofibroblasts were the most implicated cell populations GWAS meta-analysis with bioinformatic follow-up 2024-01 https://doi.org/10.1038/s41467-023-44451-0 (riesmeijer2024agenomewideassociation pages 1-2, riesmeijer2024agenomewideassociation pages 2-4, riesmeijer2024agenomewideassociation media 9c685f33)
Genetic architecture / genes Prioritized genes included TNC, AFAP1, CHSY1, NEDD4, CFDP1; deleterious nonsynonymous variants were highlighted in TMEM81, DSTYK, MMP14, and LDHAL6B GWAS meta-analysis with fine-mapping and annotation 2024-01 https://doi.org/10.1038/s41467-023-44451-0 (riesmeijer2024agenomewideassociation pages 1-2, riesmeijer2024agenomewideassociation pages 2-4)
Genetic architecture / Neandertal loci Meta-analysis identified 61 genome-wide significant loci; 3 loci harbor Neandertal-derived alleles. Carrying all 3 Neandertal risk alleles gave combined OR 2.83 (95% CI 2.62–3.05), explaining ~8.4% of heritability attributable to the 61 hits Meta-analysis of 3 biobanks 2023-06 https://doi.org/10.1093/molbev/msad130 (agren2023majorgeneticrisk pages 2-3, agren2023majorgeneticrisk pages 1-2)
Genetic architecture / specific variants Key Neandertal-tagged variants included rs17171240 (P=6.4×10^-132), rs652483 (P=9.2×10^-69), rs34017855 (P=1.1×10^-8); strongest Neandertal signal implicated EPDR1 with altered splicing in muscle, adipose, and fibroblasts Meta-analysis of 3 biobanks with functional follow-up 2023-06 https://doi.org/10.1093/molbev/msad130 (agren2023majorgeneticrisk pages 2-3, agren2023majorgeneticrisk pages 1-2)
Genetic architecture / earlier integrative genomics Integrative TWAS based on 3,871 cases and 4,686 controls identified 43 tissue-specific gene associations and confirmed significant genetic correlations with BMI, type 2 diabetes, triglycerides, and HDL; strongest earlier GWAS hit was rs16879765 in EPDR1 (P=7.2×10^-41) GWAS/TWAS integrative analysis 2019-05 https://doi.org/10.1002/gepi.22209 (major2019integrativeanalysisof pages 1-2)
Environmental / lifestyle risk factors Established non-genetic risks repeatedly cited include advanced age, male sex, cigarette smoking, heavy alcohol consumption, diabetes, and manual work exposure Review and GWAS background synthesis 2024-01 to 2024-12 https://doi.org/10.1038/s41467-023-44451-0 ; https://doi.org/10.7759/cureus.74945 (riesmeijer2024agenomewideassociation pages 1-2, khaliq2024dupuytrenscontracturea pages 1-2)
Environmental / occupational quantified effects Smoking increased risk ~2.084-fold; manual labor ~2.6-fold; hard manual labor may require ~10 years to produce disease manifestation Case-control genetic association study 2022-04 https://doi.org/10.3390/genes13050743 (samulenas2022theroleof pages 7-8, samulenas2022theroleof pages 1-2)
Gene–environment interaction Smoking plus manual labor yielded a 13.2-fold higher incidence versus neither exposure; adding the MMP14 rs1042704 minor A allele increased likelihood to ~14-fold Case-control genetic association study with risk-factor analysis 2022-04 https://doi.org/10.3390/genes13050743 (samulenas2022theroleof pages 7-8, samulenas2022theroleof pages 1-2)
Genetic susceptibility polymorphisms CHST6 rs977987 minor T allele associated with risk (~1.404-fold per minor allele; TT genotype ~1.7× more likely); MMP14 rs1042704 AA genotype associated with earlier onset and ~2.16-fold increased odds; MMP8 rs11225395 not significant Case-control genetic association study 2022-04 https://doi.org/10.3390/genes13050743 (samulenas2022theroleof pages 7-8, samulenas2022theroleof pages 1-2)
Family history / heredity Positive family history increased risk ~2.5-fold and was associated with earlier onset; genetic factors were estimated to account for ~80% of causation in cited background literature Case-control study with literature context 2022-04 https://doi.org/10.3390/genes13050743 (samulenas2022theroleof pages 7-8, samulenas2022theroleof pages 1-2)
Correlated metabolic traits DD showed significant genetic correlation with frozen shoulder (r=0.30, p=1.9×10^-6), BMI (r=-0.14, p=1.2×10^-8), and HDL (r=0.12, p=3.6×10^-5); lower BMI appears associated with higher DD risk GWAS meta-analysis 2024-01 https://doi.org/10.1038/s41467-023-44451-0 (riesmeijer2024agenomewideassociation pages 2-4, riesmeijer2024agenomewideassociation pages 1-2)
Prognosis / recurrence tendency Younger age and strong family history are associated with more aggressive progression and higher recurrence after treatment Narrative review 2024-12 https://doi.org/10.7759/cureus.74945 (khaliq2024dupuytrenscontracturea pages 1-2)
Prognosis / mortality In the retrieved evidence set used for this artifact, robust mortality statistics were not directly extractable from full-text evidence; administrative HES data reported 67 deaths (<1%) during admissions but no long-term disease-specific mortality estimate Administrative database analysis 2011-04 https://doi.org/10.1186/1471-2474-12-73 (gerber2011dupuytrenscontracturea pages 2-4)

Table: This table summarizes high-value evidence on Dupuytren disease epidemiology, healthcare burden, genetic architecture, environmental risk factors, and prognosis. It is useful as a compact evidence map with quantitative findings, study design context, and citation-ready source links.

Key statistics: - European ancestry prevalence ~3–6% overall; up to ~20% in men >60 in some reports. (khaliq2024dupuytrenscontracturea pages 1-2) - Biobank meta-analysis found higher prevalence in European vs African ancestry (e.g., MVP 0.73% vs 0.13%). (agren2023majorgeneticrisk pages 1-2)

Inheritance pattern

The evidence supports a complex/polygenic inheritance pattern with high heritability estimates (broad-sense heritability ~80% cited in genetic literature background), not a single-gene Mendelian pattern. (riesmeijer2024agenomewideassociation pages 1-2, agren2023majorgeneticrisk pages 1-2)


10. Diagnostics

Clinical diagnosis and assessment

Diagnosis is largely clinical (nodules/cords with extension deficit). Severity is quantified via goniometry and Tubiana/TPED staging (see above). (khaliq2024dupuytrenscontracturea pages 4-5, khaliq2024dupuytrenscontracturea pages 6-7)

Imaging

  • Ultrasound: used to identify nodules/cords and is increasingly studied as a biomarker tool (e.g., echogenicity, microvascularization) though not standard care. (khaliq2024dupuytrenscontracturea pages 4-5, NCT06956027 chunk 1)
  • MRI: noted as possible adjunct for complex cases; a 2024 stage-0 nodule trial protocol reports ultrasound and MRI are being performed for quantification. (khaliq2024dupuytrenscontracturea pages 4-5, NCT06321991 chunk 1)

PROMs / functional measures

DASH, MHQ, PEM are reported; URAM and quickDASH appear prominently in trials and recent percutaneous series. (khaliq2024dupuytrenscontracturea pages 4-5, basile2024challengesandinnovations pages 2-4)

Differential diagnosis

Not extractable from the retrieved evidence in this run; would require clinical guideline or comprehensive review sources beyond the current context.


11. Outcome / prognosis

Recurrence and clinical course

High recurrence after intervention is repeatedly emphasized, and definitions vary widely; one cited recurrence definition requires >20° passive extension deficit in a treated joint plus a palpable cord compared to 6–12 week post-op baseline. (khaliq2024dupuytrenscontracturea pages 6-7, khaliq2024dupuytrenscontracturea pages 5-6)

Mortality

Robust disease-associated mortality statistics were not extractable from full-text evidence in this run. An administrative dataset reports 67 deaths (<1%) during DC admissions, which does not establish disease-specific mortality. (gerber2011dupuytrenscontracturea pages 2-4)


12. Treatment

Minimally invasive interventions (real-world use)

Collagenase clostridium histolyticum (CCH) injection (e.g., Xiaflex/Xiapex; enzymatic fasciotomy) (MAXO suggestion: enzymatic fasciotomy / intralesional enzyme injection): - Review-level ranges: success ~65–85%; recurrence ~35–40% within 5 years. (khaliq2024dupuytrenscontracturea pages 4-5) - Systematic review (quantitative): among 2675 patients, 94% had ≥1 AE; common AEs: edema 64%, extremity pain 53%, contusion 51%; recurrence in 23% of successfully treated joints (20% MCP, 28% PIP) with ≥12 months follow-up. (sandler2022treatmentofdupuytren’s pages 1-2) - 5-year cohort outcomes: no re-treatment estimate 79% (MCP) vs 49% (PIP); suggests durability is substantially worse for PIP joints. (werlinrud2018fiveyearresultsafter pages 1-2)

Percutaneous needle aponeurotomy/fasciotomy (PNA/PNF) (MAXO: percutaneous needle fasciotomy): - Advanced-disease (Tubiana 3–4) multicentre series (n=480): baseline PED 113° improved to PED 9° at 12 months; quickDASH improved from 24 to 8; URAM from 37 to 6; recurrence 30% at 12 months; minor complications 18.7% (mostly skin lacerations), no major complications. (basile2024challengesandinnovations pages 2-4, basile2024challengesandinnovations pages 1-2) - Separate retrospective PNA series (41 patients; mean follow-up 45 months) reported recurrence 58.5%, with lower recurrence when performed at early stage 1. (koroglu2024recurrenceandfactors pages 1-2)

Comparative complications and satisfaction (CCH vs limited fasciectomy) A 2024 systematic review/meta-analysis (967 patients; 1344 joints; mean follow-up ~19 months) reported more complications per patient with CCH (~2.15/patient) vs limited fasciectomy (~0.25/patient), with differing complication profiles (bruising/edema common for CCH; paraesthesia/scar sequelae/neuropraxia more common for surgery). (alhebshi2024comparingcomplicationsand pages 1-2)

Surgical interventions

Surgical options include limited fasciectomy, radical fasciectomy, and dermofasciectomy. Limited fasciectomy is described as preferred standard surgery but may have recurrence up to ~50% within 5–10 years; radical fasciectomy reduces recurrence but increases complication risk; dermofasciectomy lowers recurrence likelihood but is more complex (e.g., graft failure/infection risks). (khaliq2024dupuytrenscontracturea pages 5-6)

Early-stage and emerging therapies

Corticosteroid injections for nodules (MAXO: intralesional corticosteroid injection) - Used early to reduce inflammation and temporarily reduce nodule size/pain, but do not prevent contracture; effects are temporary and may require repeat injections. (khaliq2024dupuytrenscontracturea pages 5-6)

Radiotherapy (MAXO: radiotherapy) - Low-dose radiotherapy is used mainly in Europe for early disease; a cited 2016 study reported prevention of advancement in ~70% with minimal side effects, but long-term efficacy remains under study. (khaliq2024dupuytrenscontracturea pages 5-6)

Anti-TNF (adalimumab) intranodular injection (repurposing strategy) - RIDD trial-based economic evaluation: adalimumab reduced nodule hardness and size and nodules continued to decrease up to 18 months; within-trial ICER was £503,410/QALY at 12 months (not cost-effective short-term), but lifetime modelling suggested repeated courses could be cost-effective (£14,593/QALY; 77% probability at £20,000/QALY threshold). (dakin2022costeffectivenessofadalimumab pages 1-2, dakin2022costeffectivenessofadalimumab pages 5-6)


13. Prevention

No established primary prevention is demonstrated in the retrieved evidence. Practical prevention-like strategies include reducing modifiable risks (smoking, heavy alcohol, occupational exposures) and early surveillance in higher-risk populations; occupational-health sources suggest surveillance among vibration-exposed workers. (nilssonUnknownyeardupuytrenssjukdomi pages 35-38, samulenas2022theroleof pages 7-8)

Early-stage “secondary prevention” (delaying progression) remains an active research area, with radiotherapy, steroids, and biologic repurposing (adalimumab) studied primarily via surrogate outcomes (nodule size/hardness). (khaliq2024dupuytrenscontracturea pages 5-6, dakin2022costeffectivenessofadalimumab pages 6-8)


14. Other species / natural disease

Not addressed in the retrieved evidence for this run.


15. Model organisms

Not addressed in the retrieved evidence for this run.


Recent developments (2023–2024 emphasis) and expert analysis

Genetics and pathway discovery

The 2024 Nature Communications meta-GWAS represents a major advance in locus discovery, variance explained, and pathway/cell-type prioritization (Hedgehog/Notch; fibroblast/myofibroblast involvement), supporting target discovery directions. (riesmeijer2024agenomewideassociation pages 1-2, riesmeijer2024agenomewideassociation pages 2-4)

A retrieved figure set from this study (e.g., Manhattan plot, gene/cell prioritization, PRS separation) can be cited for visual support of genome-wide association strength and PRS discrimination. (riesmeijer2024agenomewideassociation media 9c685f33, riesmeijer2024agenomewideassociation media 069361fc)

Clinical research emphasis

2024 clinical work continues to focus on minimizing morbidity while improving durability (e.g., advanced-stage PNF outcomes and complications; collagenase vs fasciectomy comparative synthesis), while emphasizing the need for standardized recurrence definitions and outcome measures. (basile2024challengesandinnovations pages 2-4, khaliq2024dupuytrenscontracturea pages 6-7)


Key data gaps / limitations of this report

1) MONDO/Orphanet/OMIM identifiers, HPO/GO/CL/UBERON IDs, and PMIDs were not consistently present in the retrieved evidence chunks; terms are suggested but IDs should be added via dedicated ontology queries. (NCT06321991 chunk 2, khaliq2024dupuytrenscontracturea pages 4-5) 2) Disease-specific mortality/prognosis beyond recurrence was not extractable from available full-text evidence in this run. (gerber2011dupuytrenscontracturea pages 2-4) 3) Several high-priority 2023–2024 comparative effectiveness studies and guidelines were listed as “unobtainable” in tool output and could not be extracted for this report.


URLs and publication dates (selected high-value sources)

References

  1. (khaliq2024dupuytrenscontracturea pages 1-2): Farihah Khaliq and Chijioke Orji. Dupuytren's contracture: a review of the literature. Cureus, Dec 2024. URL: https://doi.org/10.7759/cureus.74945, doi:10.7759/cureus.74945. This article has 13 citations.

  2. (riesmeijer2024agenomewideassociation pages 1-2): Sophie A. Riesmeijer, Zoha Kamali, Michael Ng, Dmitriy Drichel, Bram Piersma, Kerstin Becker, Thomas B. Layton, Jagdeep Nanchahal, Michael Nothnagel, Ahmad Vaez, Hans Christian Hennies, Paul M. N. Werker, Dominic Furniss, and Ilja M. Nolte. A genome-wide association meta-analysis implicates hedgehog and notch signaling in dupuytren’s disease. Nature Communications, Jan 2024. URL: https://doi.org/10.1038/s41467-023-44451-0, doi:10.1038/s41467-023-44451-0. This article has 21 citations and is from a highest quality peer-reviewed journal.

  3. (riesmeijer2024agenomewideassociation pages 2-4): Sophie A. Riesmeijer, Zoha Kamali, Michael Ng, Dmitriy Drichel, Bram Piersma, Kerstin Becker, Thomas B. Layton, Jagdeep Nanchahal, Michael Nothnagel, Ahmad Vaez, Hans Christian Hennies, Paul M. N. Werker, Dominic Furniss, and Ilja M. Nolte. A genome-wide association meta-analysis implicates hedgehog and notch signaling in dupuytren’s disease. Nature Communications, Jan 2024. URL: https://doi.org/10.1038/s41467-023-44451-0, doi:10.1038/s41467-023-44451-0. This article has 21 citations and is from a highest quality peer-reviewed journal.

  4. (khaliq2024dupuytrenscontracturea pages 4-5): Farihah Khaliq and Chijioke Orji. Dupuytren's contracture: a review of the literature. Cureus, Dec 2024. URL: https://doi.org/10.7759/cureus.74945, doi:10.7759/cureus.74945. This article has 13 citations.

  5. (khaliq2024dupuytrenscontracturea pages 5-6): Farihah Khaliq and Chijioke Orji. Dupuytren's contracture: a review of the literature. Cureus, Dec 2024. URL: https://doi.org/10.7759/cureus.74945, doi:10.7759/cureus.74945. This article has 13 citations.

  6. (NCT06321991 chunk 2): Nodular Shrinking in Dupuytren Disease. Universitaire Ziekenhuizen KU Leuven. 2024. ClinicalTrials.gov Identifier: NCT06321991

  7. (NCT07470684 chunk 2): Skin Involvement in Dupuytren Surgical Treatment Outcome. Universitaire Ziekenhuizen KU Leuven. 2024. ClinicalTrials.gov Identifier: NCT07470684

  8. (NCT01876498 chunk 1): Daniel Herren. Registry of Patient With M. Dupuytren and Validation of the Brief MHQ. Schulthess Klinik. 2013. ClinicalTrials.gov Identifier: NCT01876498

  9. (khaliq2024dupuytrenscontracturea pages 6-7): Farihah Khaliq and Chijioke Orji. Dupuytren's contracture: a review of the literature. Cureus, Dec 2024. URL: https://doi.org/10.7759/cureus.74945, doi:10.7759/cureus.74945. This article has 13 citations.

  10. (NCT04874870 chunk 2): Jason Nydick DO. Effectiveness of Splinting After Collagenase Injection. Foundation for Orthopaedic Research and Education. 2021. ClinicalTrials.gov Identifier: NCT04874870

  11. (NCT06956027 chunk 2): Ultrasound Features of Dupuytren's Disease. Universitaire Ziekenhuizen KU Leuven. 2025. ClinicalTrials.gov Identifier: NCT06956027

  12. (NCT03192020 chunk 3): Olli Leppänen. Trial Comparing Treatment Strategies in Dupuytren's Contracture. Tampere University. 2017. ClinicalTrials.gov Identifier: NCT03192020

  13. (alhebshi2024comparingcomplicationsand pages 1-2): Zainah A Alhebshi, Aya O Bamuqabel, Zainab Alqurain, Dana Dahlan, Hanan I Wasaya, Ziyad S Al Saedi, Gutaybah S Alqarni, Danah Alqarni, and Bayan Ghalimah. Comparing complications and patient satisfaction following injectable collagenase versus limited fasciectomy for dupuytren’s disease: a systematic review and meta-analysis. Cureus, Jan 2024. URL: https://doi.org/10.7759/cureus.53147, doi:10.7759/cureus.53147. This article has 9 citations.

  14. (NCT06142929 chunk 2): Micronerves in Dupuytren and the Impact of Its Dissection on Recurrence. Universitaire Ziekenhuizen KU Leuven. 2024. ClinicalTrials.gov Identifier: NCT06142929

  15. (gerber2011dupuytrenscontracturea pages 1-2): Robert A Gerber, Richard Perry, Robin Thompson, and Christopher Bainbridge. Dupuytren's contracture: a retrospective database analysis to assess clinical management and costs in england. BMC Musculoskeletal Disorders, 12:73-73, Apr 2011. URL: https://doi.org/10.1186/1471-2474-12-73, doi:10.1186/1471-2474-12-73. This article has 66 citations and is from a peer-reviewed journal.

  16. (agren2023majorgeneticrisk pages 1-2): Richard Ågren, Snehal Patil, Xiang Zhou, Aarno Palotie, Mark Daly, Bridget Riley-Gills, Howard Jacob, Dirk Paul, Athena Matakidou, Adam Platt, Heiko Runz, Sally John, George Okafo, Nathan Lawless, Robert Plenge, Joseph Maranville, Mark McCarthy, Julie Hunkapiller, Margaret G Ehm, Kirsi Auro, Simonne Longerich, Caroline Fox, Anders Mälarstig, Katherine Klinger, Deepak Raipal, Eric Green, Robert Graham, Robert Yang, Chris ÓDonnell, Tomi Mäkelä, Jaakko Kaprio, Petri Virolainen, Antti Hakanen, Terhi Kilpi, Markus Perola, Jukka Partanen, Anne Pitkäranta, Juhani Junttila, Raisa Serpi, Tarja Laitinen, Veli-Matti Kosma, Jari Laukkanen, Marco Hautalahti, Outi Tuovila, Raimo Pakkanen, Jeffrey Waring, Bridget Riley-Gillis, Fedik Rahimov, Ioanna Tachmazidou, Chia-Yen Chen, Heiko Runz, Zhihao Ding, Marc Jung, Shameek Biswas, Rion Pendergrass, Julie Hunkapiller, Margaret G Ehm, David Pulford, Neha Raghavan, Adriana Huertas-Vazquez, Jae-Hoon Sul, Anders Mälarstig, Xinli Hu, Katherine Klinger, Robert Graham, Eric Green, Sahar Mozaffari, Dawn Waterworth, Nicole Renaud, Máen Obeidat, Samuli Ripatti, Johanna Schleutker, Markus Perola, Mikko Arvas, Olli Carpén, Reetta Hinttala, Johannes Kettunen, Arto Mannermaa, Katriina Aalto-Setälä, Mika Kähönen, Jari Laukkanen, Johanna Mäkelä, Reetta Kälviäinen, Valtteri Julkunen, Hilkka Soininen, Anne Remes, Mikko Hiltunen, Jukka Peltola, Minna Raivio, Pentti Tienari, Juha Rinne, Roosa Kallionpää, Juulia Partanen, Ali Abbasi, Adam Ziemann, Nizar Smaoui, Anne Lehtonen, Susan Eaton, Heiko Runz, Sanni Lahdenperä, Shameek Biswas, Julie Hunkapiller, Natalie Bowers, Edmond Teng, Rion Pendergrass, Fanli Xu, David Pulford, Kirsi Auro, Laura Addis, John Eicher, Qingqin S Li, Karen He, Ekaterina Khramtsova, Neha Raghavan, Martti Färkkilä, Jukka Koskela, Sampsa Pikkarainen, Airi Jussila, Katri Kaukinen, Timo Blomster, Mikko Kiviniemi, Markku Voutilainen, Mark Daly, Ali Abbasi, Jeffrey Waring, Nizar Smaoui, Fedik Rahimov, Anne Lehtonen, Tim Lu, Natalie Bowers, Rion Pendergrass, Linda McCarthy, Amy Hart, Meijian Guan, Jason Miller, Kirsi Kalpala, Melissa Miller, Xinli Hu, Kari Eklund, Antti Palomäki, Pia Isomäki, Laura Pirilä, Oili Kaipiainen-Seppänen, Johanna Huhtakangas, Nina Mars, Ali Abbasi, Jeffrey Waring, Fedik Rahimov, Apinya Lertratanakul, Nizar Smaoui, Anne Lehtonen, David Close, Marla Hochfeld, Natalie Bowers, Rion Pendergrass, Jorge Esparza Gordillo, Kirsi Auro, Dawn Waterworth, Fabiana Farias, Kirsi Kalpala, Nan Bing, Xinli Hu, Tarja Laitinen, Margit Pelkonen, Paula Kauppi, Hannu Kankaanranta, Terttu Harju, Riitta Lahesmaa, Nizar Smaoui, Alex Mackay, Glenda Lassi, Susan Eaton, Hubert Chen, Rion Pendergrass, Natalie Bowers, Joanna Betts, Kirsi Auro, Rajashree Mishra, Majd Mouded, Debby Ngo, Teemu Niiranen, Felix Vaura, Veikko Salomaa, Kaj Metsärinne, Jenni Aittokallio, Mika Kähönen, Jussi Hernesniemi, Daniel Gordin, Juha Sinisalo, Marja-Riitta Taskinen, Tiinamaija Tuomi, Timo Hiltunen, Jari Laukkanen, Amanda Elliott, Mary Pat Reeve, Sanni Ruotsalainen, Benjamin Challis, Dirk Paul, Julie Hunkapiller, Natalie Bowers, Rion Pendergrass, Audrey Chu, Kirsi Auro, Dermot Reilly, Mike Mendelson, Jaakko Parkkinen, Melissa Miller, Tuomo Meretoja, Heikki Joensuu, Olli Carpén, Johanna Mattson, Eveliina Salminen, Annika Auranen, Peeter Karihtala, Päivi Auvinen, Klaus Elenius, Johanna Schleutker, Esa Pitkänen, Nina Mars, Mark Daly, Relja Popovic, Jeffrey Waring, Bridget Riley-Gillis, Anne Lehtonen, Jennifer Schutzman, Julie Hunkapiller, Natalie Bowers, Rion Pendergrass, Diptee Kulkarni, Kirsi Auro, Alessandro Porello, Andrey Loboda, Heli Lehtonen, Stefan McDonough, Sauli Vuoti, Kai Kaarniranta, Joni A Turunen, Terhi Ollila, Hannu Uusitalo, Juha Karjalainen, Esa Pitkänen, Mengzhen Liu, Heiko Runz, Stephanie Loomis, Erich Strauss, Natalie Bowers, Hao Chen, Rion Pendergrass, Kaisa Tasanen, Laura Huilaja, Katariina Hannula-Jouppi, Teea Salmi, Sirkku Peltonen, Leena Koulu, Nizar Smaoui, Fedik Rahimov, Anne Lehtonen, David Choy, Rion Pendergrass, Dawn Waterworth, Kirsi Kalpala, Ying Wu, Pirkko Pussinen, Aino Salminen, Tuula Salo, David Rice, Pekka Nieminen, Ulla Palotie, Maria Siponen, Liisa Suominen, Päivi Mäntylä, Ulvi Gursoy, Vuokko Anttonen, Kirsi Sipilä, Rion Pendergrass, Hannele Laivuori, Venla Kurra, Laura Kotaniemi-Talonen, Oskari Heikinheimo, Ilkka Kalliala, Lauri Aaltonen, Varpu Jokimaa, Johannes Kettunen, Marja Vääräsmäki, Outi Uimari, Laure Morin-Papunen, Maarit Niinimäki, Terhi Piltonen, Katja Kivinen, Elisabeth Widen, Taru Tukiainen, Mary Pat Reeve, Mark Daly, Niko Välimäki, Eija Laakkonen, Jaakko Tyrmi, Heidi Silven, Eeva Sliz, Riikka Arffman, Susanna Savukoski, Triin Laisk, Natalia Pujol, Mengzhen Liu, Bridget Riley-Gillis, Rion Pendergrass, Janet Kumar, Kirsi Auro, Iiris Hovatta, Chia-Yen Chen, Erkki Isometsä, Kumar Veerapen, Hanna Ollila, Jaana Suvisaari, Thomas Damm Als, Antti Mäkitie, Argyro Bizaki-Vallaskangas, Sanna Toppila-Salmi, Tytti Willberg, Elmo Saarentaus, Antti Aarnisalo, Eveliina Salminen, Elisa Rahikkala, Johannes Kettunen, Kristiina Aittomäki, Fredrik Åberg, Mitja Kurki, Samuli Ripatti, Mark Daly, Juha Karjalainen, Aki Havulinna, Juha Mehtonen, Priit Palta, Shabbeer Hassan, Pietro Della Briotta Parolo, Wei Zhou, Mutaamba Maasha, Kumar Veerapen, Shabbeer Hassan, Susanna Lemmelä, Manuel Rivas, Mari E Niemi, Aarno Palotie, Aoxing Liu, Arto Lehisto, Andrea Ganna, Vincent Llorens, Hannele Laivuori, Taru Tukiainen, Mary Pat Reeve, Henrike Heyne, Nina Mars, Joel Rämö, Elmo Saarentaus, Hanna Ollila, Rodos Rodosthenous, Satu Strausz, Tuula Palotie, Kimmo Palin, Javier Garcia-Tabuenca, Harri Siirtola, Tuomo Kiiskinen, Jiwoo Lee, Kristin Tsuo, Amanda Elliott, Kati Kristiansson, Mikko Arvas, Kati Hyvärinen, Jarmo Ritari, Olli Carpén, Johannes Kettunen, Katri Pylkäs, Eeva Sliz, Minna Karjalainen, Tuomo Mantere, Eeva Kangasniemi, Sami Heikkinen, Arto Mannermaa, Eija Laakkonen, Nina Pitkänen, Samuel Lessard, Clément Chatelain, Perttu Terho, Sirpa Soini, Jukka Partanen, Eero Punkka, Raisa Serpi, Sanna Siltanen, Veli-Matti Kosma, Teijo Kuopio, Anu Jalanko, Huei-Yi Shen, Risto Kajanne, Mervi Aavikko, Mitja Kurki, Juha Karjalainen, Pietro Della Briotta Parolo, Arto Lehisto, Juha Mehtonen, Wei Zhou, Masahiro Kanai, Mutaamba Maasha, Kumar Veerapen, Hannele Laivuori, Aki Havulinna, Susanna Lemmelä, Tuomo Kiiskinen, L Elisa Lahtela, Mari Kaunisto, Elina Kilpeläinen, Timo P Sipilä, Oluwaseun Alexander Dada, Awaisa Ghazal, Anastasia Kytölä, Rigbe Weldatsadik, Kati Donner, Timo P Sipilä, Anu Loukola, Päivi Laiho, Tuuli Sistonen, Essi Kaiharju, Markku Laukkanen, Elina Järvensivu, Sini Lähteenmäki, Lotta Männikkö, Regis Wong, Auli Toivola, Minna Brunfeldt, Hannele Mattsson, Kati Kristiansson, Susanna Lemmelä, Sami Koskelainen, Tero Hiekkalinna, Teemu Paajanen, Priit Palta, Kalle Pärn, Mart Kals, Shuang Luo, Vishal Sinha, Tarja Laitinen, Mary Pat Reeve, Marianna Niemi, Kumar Veerapen, Harri Siirtola, Javier Gracia-Tabuenca, Mika Helminen, Tiina Luukkaala, Iida Vähätalo, Jyrki Pitkänen, Marco Hautalahti, Johanna Mäkelä, Sarah Smith, Tom Southerington, Kristoffer Sahlholm, Svante Pääbo, and Hugo Zeberg. Major genetic risk factors for dupuytren's disease are inherited from neandertals. Molecular Biology and Evolution, Jun 2023. URL: https://doi.org/10.1093/molbev/msad130, doi:10.1093/molbev/msad130. This article has 18 citations and is from a highest quality peer-reviewed journal.

  17. (agren2023majorgeneticrisk pages 2-3): Richard Ågren, Snehal Patil, Xiang Zhou, Aarno Palotie, Mark Daly, Bridget Riley-Gills, Howard Jacob, Dirk Paul, Athena Matakidou, Adam Platt, Heiko Runz, Sally John, George Okafo, Nathan Lawless, Robert Plenge, Joseph Maranville, Mark McCarthy, Julie Hunkapiller, Margaret G Ehm, Kirsi Auro, Simonne Longerich, Caroline Fox, Anders Mälarstig, Katherine Klinger, Deepak Raipal, Eric Green, Robert Graham, Robert Yang, Chris ÓDonnell, Tomi Mäkelä, Jaakko Kaprio, Petri Virolainen, Antti Hakanen, Terhi Kilpi, Markus Perola, Jukka Partanen, Anne Pitkäranta, Juhani Junttila, Raisa Serpi, Tarja Laitinen, Veli-Matti Kosma, Jari Laukkanen, Marco Hautalahti, Outi Tuovila, Raimo Pakkanen, Jeffrey Waring, Bridget Riley-Gillis, Fedik Rahimov, Ioanna Tachmazidou, Chia-Yen Chen, Heiko Runz, Zhihao Ding, Marc Jung, Shameek Biswas, Rion Pendergrass, Julie Hunkapiller, Margaret G Ehm, David Pulford, Neha Raghavan, Adriana Huertas-Vazquez, Jae-Hoon Sul, Anders Mälarstig, Xinli Hu, Katherine Klinger, Robert Graham, Eric Green, Sahar Mozaffari, Dawn Waterworth, Nicole Renaud, Máen Obeidat, Samuli Ripatti, Johanna Schleutker, Markus Perola, Mikko Arvas, Olli Carpén, Reetta Hinttala, Johannes Kettunen, Arto Mannermaa, Katriina Aalto-Setälä, Mika Kähönen, Jari Laukkanen, Johanna Mäkelä, Reetta Kälviäinen, Valtteri Julkunen, Hilkka Soininen, Anne Remes, Mikko Hiltunen, Jukka Peltola, Minna Raivio, Pentti Tienari, Juha Rinne, Roosa Kallionpää, Juulia Partanen, Ali Abbasi, Adam Ziemann, Nizar Smaoui, Anne Lehtonen, Susan Eaton, Heiko Runz, Sanni Lahdenperä, Shameek Biswas, Julie Hunkapiller, Natalie Bowers, Edmond Teng, Rion Pendergrass, Fanli Xu, David Pulford, Kirsi Auro, Laura Addis, John Eicher, Qingqin S Li, Karen He, Ekaterina Khramtsova, Neha Raghavan, Martti Färkkilä, Jukka Koskela, Sampsa Pikkarainen, Airi Jussila, Katri Kaukinen, Timo Blomster, Mikko Kiviniemi, Markku Voutilainen, Mark Daly, Ali Abbasi, Jeffrey Waring, Nizar Smaoui, Fedik Rahimov, Anne Lehtonen, Tim Lu, Natalie Bowers, Rion Pendergrass, Linda McCarthy, Amy Hart, Meijian Guan, Jason Miller, Kirsi Kalpala, Melissa Miller, Xinli Hu, Kari Eklund, Antti Palomäki, Pia Isomäki, Laura Pirilä, Oili Kaipiainen-Seppänen, Johanna Huhtakangas, Nina Mars, Ali Abbasi, Jeffrey Waring, Fedik Rahimov, Apinya Lertratanakul, Nizar Smaoui, Anne Lehtonen, David Close, Marla Hochfeld, Natalie Bowers, Rion Pendergrass, Jorge Esparza Gordillo, Kirsi Auro, Dawn Waterworth, Fabiana Farias, Kirsi Kalpala, Nan Bing, Xinli Hu, Tarja Laitinen, Margit Pelkonen, Paula Kauppi, Hannu Kankaanranta, Terttu Harju, Riitta Lahesmaa, Nizar Smaoui, Alex Mackay, Glenda Lassi, Susan Eaton, Hubert Chen, Rion Pendergrass, Natalie Bowers, Joanna Betts, Kirsi Auro, Rajashree Mishra, Majd Mouded, Debby Ngo, Teemu Niiranen, Felix Vaura, Veikko Salomaa, Kaj Metsärinne, Jenni Aittokallio, Mika Kähönen, Jussi Hernesniemi, Daniel Gordin, Juha Sinisalo, Marja-Riitta Taskinen, Tiinamaija Tuomi, Timo Hiltunen, Jari Laukkanen, Amanda Elliott, Mary Pat Reeve, Sanni Ruotsalainen, Benjamin Challis, Dirk Paul, Julie Hunkapiller, Natalie Bowers, Rion Pendergrass, Audrey Chu, Kirsi Auro, Dermot Reilly, Mike Mendelson, Jaakko Parkkinen, Melissa Miller, Tuomo Meretoja, Heikki Joensuu, Olli Carpén, Johanna Mattson, Eveliina Salminen, Annika Auranen, Peeter Karihtala, Päivi Auvinen, Klaus Elenius, Johanna Schleutker, Esa Pitkänen, Nina Mars, Mark Daly, Relja Popovic, Jeffrey Waring, Bridget Riley-Gillis, Anne Lehtonen, Jennifer Schutzman, Julie Hunkapiller, Natalie Bowers, Rion Pendergrass, Diptee Kulkarni, Kirsi Auro, Alessandro Porello, Andrey Loboda, Heli Lehtonen, Stefan McDonough, Sauli Vuoti, Kai Kaarniranta, Joni A Turunen, Terhi Ollila, Hannu Uusitalo, Juha Karjalainen, Esa Pitkänen, Mengzhen Liu, Heiko Runz, Stephanie Loomis, Erich Strauss, Natalie Bowers, Hao Chen, Rion Pendergrass, Kaisa Tasanen, Laura Huilaja, Katariina Hannula-Jouppi, Teea Salmi, Sirkku Peltonen, Leena Koulu, Nizar Smaoui, Fedik Rahimov, Anne Lehtonen, David Choy, Rion Pendergrass, Dawn Waterworth, Kirsi Kalpala, Ying Wu, Pirkko Pussinen, Aino Salminen, Tuula Salo, David Rice, Pekka Nieminen, Ulla Palotie, Maria Siponen, Liisa Suominen, Päivi Mäntylä, Ulvi Gursoy, Vuokko Anttonen, Kirsi Sipilä, Rion Pendergrass, Hannele Laivuori, Venla Kurra, Laura Kotaniemi-Talonen, Oskari Heikinheimo, Ilkka Kalliala, Lauri Aaltonen, Varpu Jokimaa, Johannes Kettunen, Marja Vääräsmäki, Outi Uimari, Laure Morin-Papunen, Maarit Niinimäki, Terhi Piltonen, Katja Kivinen, Elisabeth Widen, Taru Tukiainen, Mary Pat Reeve, Mark Daly, Niko Välimäki, Eija Laakkonen, Jaakko Tyrmi, Heidi Silven, Eeva Sliz, Riikka Arffman, Susanna Savukoski, Triin Laisk, Natalia Pujol, Mengzhen Liu, Bridget Riley-Gillis, Rion Pendergrass, Janet Kumar, Kirsi Auro, Iiris Hovatta, Chia-Yen Chen, Erkki Isometsä, Kumar Veerapen, Hanna Ollila, Jaana Suvisaari, Thomas Damm Als, Antti Mäkitie, Argyro Bizaki-Vallaskangas, Sanna Toppila-Salmi, Tytti Willberg, Elmo Saarentaus, Antti Aarnisalo, Eveliina Salminen, Elisa Rahikkala, Johannes Kettunen, Kristiina Aittomäki, Fredrik Åberg, Mitja Kurki, Samuli Ripatti, Mark Daly, Juha Karjalainen, Aki Havulinna, Juha Mehtonen, Priit Palta, Shabbeer Hassan, Pietro Della Briotta Parolo, Wei Zhou, Mutaamba Maasha, Kumar Veerapen, Shabbeer Hassan, Susanna Lemmelä, Manuel Rivas, Mari E Niemi, Aarno Palotie, Aoxing Liu, Arto Lehisto, Andrea Ganna, Vincent Llorens, Hannele Laivuori, Taru Tukiainen, Mary Pat Reeve, Henrike Heyne, Nina Mars, Joel Rämö, Elmo Saarentaus, Hanna Ollila, Rodos Rodosthenous, Satu Strausz, Tuula Palotie, Kimmo Palin, Javier Garcia-Tabuenca, Harri Siirtola, Tuomo Kiiskinen, Jiwoo Lee, Kristin Tsuo, Amanda Elliott, Kati Kristiansson, Mikko Arvas, Kati Hyvärinen, Jarmo Ritari, Olli Carpén, Johannes Kettunen, Katri Pylkäs, Eeva Sliz, Minna Karjalainen, Tuomo Mantere, Eeva Kangasniemi, Sami Heikkinen, Arto Mannermaa, Eija Laakkonen, Nina Pitkänen, Samuel Lessard, Clément Chatelain, Perttu Terho, Sirpa Soini, Jukka Partanen, Eero Punkka, Raisa Serpi, Sanna Siltanen, Veli-Matti Kosma, Teijo Kuopio, Anu Jalanko, Huei-Yi Shen, Risto Kajanne, Mervi Aavikko, Mitja Kurki, Juha Karjalainen, Pietro Della Briotta Parolo, Arto Lehisto, Juha Mehtonen, Wei Zhou, Masahiro Kanai, Mutaamba Maasha, Kumar Veerapen, Hannele Laivuori, Aki Havulinna, Susanna Lemmelä, Tuomo Kiiskinen, L Elisa Lahtela, Mari Kaunisto, Elina Kilpeläinen, Timo P Sipilä, Oluwaseun Alexander Dada, Awaisa Ghazal, Anastasia Kytölä, Rigbe Weldatsadik, Kati Donner, Timo P Sipilä, Anu Loukola, Päivi Laiho, Tuuli Sistonen, Essi Kaiharju, Markku Laukkanen, Elina Järvensivu, Sini Lähteenmäki, Lotta Männikkö, Regis Wong, Auli Toivola, Minna Brunfeldt, Hannele Mattsson, Kati Kristiansson, Susanna Lemmelä, Sami Koskelainen, Tero Hiekkalinna, Teemu Paajanen, Priit Palta, Kalle Pärn, Mart Kals, Shuang Luo, Vishal Sinha, Tarja Laitinen, Mary Pat Reeve, Marianna Niemi, Kumar Veerapen, Harri Siirtola, Javier Gracia-Tabuenca, Mika Helminen, Tiina Luukkaala, Iida Vähätalo, Jyrki Pitkänen, Marco Hautalahti, Johanna Mäkelä, Sarah Smith, Tom Southerington, Kristoffer Sahlholm, Svante Pääbo, and Hugo Zeberg. Major genetic risk factors for dupuytren's disease are inherited from neandertals. Molecular Biology and Evolution, Jun 2023. URL: https://doi.org/10.1093/molbev/msad130, doi:10.1093/molbev/msad130. This article has 18 citations and is from a highest quality peer-reviewed journal.

  18. (samulenas2022theroleof pages 7-8): Gediminas Samulenas, Ruta Insodaite, Edita Kunceviciene, Roberta Poceviciute, Lorena Masionyte, Urte Zitkeviciute, Loreta Pilipaityte, and Alina Smalinskiene. The role of functional polymorphisms in the extracellular matrix modulation-related genes on dupuytren’s contracture. Genes, 13:743, Apr 2022. URL: https://doi.org/10.3390/genes13050743, doi:10.3390/genes13050743. This article has 6 citations.

  19. (samulenas2022theroleof pages 1-2): Gediminas Samulenas, Ruta Insodaite, Edita Kunceviciene, Roberta Poceviciute, Lorena Masionyte, Urte Zitkeviciute, Loreta Pilipaityte, and Alina Smalinskiene. The role of functional polymorphisms in the extracellular matrix modulation-related genes on dupuytren’s contracture. Genes, 13:743, Apr 2022. URL: https://doi.org/10.3390/genes13050743, doi:10.3390/genes13050743. This article has 6 citations.

  20. (khaliq2024dupuytrenscontracturea pages 2-4): Farihah Khaliq and Chijioke Orji. Dupuytren's contracture: a review of the literature. Cureus, Dec 2024. URL: https://doi.org/10.7759/cureus.74945, doi:10.7759/cureus.74945. This article has 13 citations.

  21. (basile2024challengesandinnovations pages 1-2): Giuseppe Basile, Federico Amadei, Luca Bianco Prevot, Livio Pietro Tronconi, Antonello Ciccarelli, Vittorio Bolcato, and Simona Zaami. Challenges and innovations in the surgical treatment of advanced dupuytren disease by percutaneous needle fasciotomy: indications, limitations, and medico-legal implications. Journal of Orthopaedic Surgery and Research, Jul 2024. URL: https://doi.org/10.1186/s13018-024-04844-3, doi:10.1186/s13018-024-04844-3. This article has 2 citations and is from a peer-reviewed journal.

  22. (aissvarya2024moleculargeneticsof pages 1-2): S Aissvarya, KH Ling, and M Arumugam. Molecular genetics of dupuytren's contracture. Unknown journal, 2024.

  23. (nilssonUnknownyeardupuytrenssjukdomi pages 35-38): T Nilsson, J Wahlström, E Reierth, and L Burström. Dupuytrens sjukdom i relation till exponering för handöverförda vibrationer. Unknown journal, Unknown year.

  24. (gelbard2021fibroproliferativedisordersand pages 5-6): Martin K. Gelbard and Joel Rosenbloom. Fibroproliferative disorders and diabetes: understanding the pathophysiologic relationship between peyronie’s disease, dupuytren disease and diabetes. Endocrinology, Diabetes & Metabolism, Oct 2021. URL: https://doi.org/10.1002/edm2.195, doi:10.1002/edm2.195. This article has 29 citations and is from a peer-reviewed journal.

  25. (gelbard2021fibroproliferativedisordersand pages 4-5): Martin K. Gelbard and Joel Rosenbloom. Fibroproliferative disorders and diabetes: understanding the pathophysiologic relationship between peyronie’s disease, dupuytren disease and diabetes. Endocrinology, Diabetes & Metabolism, Oct 2021. URL: https://doi.org/10.1002/edm2.195, doi:10.1002/edm2.195. This article has 29 citations and is from a peer-reviewed journal.

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