Dupuytren's contracture and wrist fractures

WorkSafeBC Evidence-Based Practice Group, Martin CW
Record ID 32018004218
Authors' objectives: To determine whether there is any evidence to support the (causal) association between wrist fracture and the development of Dupuytren's contracture (DC). More generally, the development of Dupuytren's contracture post injury to the lower part of the upper extremities.
Authors' results and conclusions: Of the primary studies which provided/included some controls in their data analysis that are identified in this systematic review, the evidence demonstrated a conflicting association on the history of trauma (in any form) and DC. It must be further emphasized that temporality between injury event and DC development cannot be established from these primary studies. Further, none of these studies exhaustively explored/adjusted their data analysis with identified risk factors of DC. At present, there may be some data showing the association between a history of trauma (in any form including post-surgery) distal to the elbow and the development of DC. However, this association cannot be interpreted as causal in nature, primarily due to the inability of the data to provide evidence on the temporality of the association between trauma and development of DC. Further, the available data may not have sufficiently explored the role of other risk factors in influencing the development of DC among those patients with history of trauma.
Authors' methods: A comprehensive and systematic literature search was conducted on commercial medical literature databases on August 29, 2022. Fourteen studies were thought to be relevant and were further appraised and summarized (Table 1) in this systematic review. No limitations, such as on language or date of publication, were implemented in any of these searches. Bing Microsoft Translator (https://www.bing.com/translator) was employed to translate retrieved studies that were not published in English. A manual search was also done on the references of the articles that were retrieved in full.
Project Status: Completed
Year Published: 2022
English language abstract: An English language summary is available
Publication Type: Mini HTA
Country: Canada
MeSH Terms
  • Wrist Fractures
  • Dupuytren Contracture
  • Wrist Injuries
  • Dupuytren contractures
  • Dupuytren disease
  • styloid fracture
  • wrist
Organisation Name: WorkSafeBC
Contact Address: 6591 Westminster Highway, Richmond, BC, V7C 1C6 Canada. Tel: 604-231-8417; Fax: 604-279-7698
Contact Name: ebpg@worksafebc.com
Contact Email: ebpg@worksafebc.com
Copyright: WorkSafe BC
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.