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One-Year Incidence of Dupuytren's Disease After Carpal Tunnel or Trigger Finger Release
Calvin Englert, MD
1, Gabriel Ramirez, MS
2, Caroline Thirukumaran, MBBS, MHA, PhD
2; Warren C. Hammert, MD
3(1)Oregon Health & Science University, Portland, OR, (2)University of Rochester Medical Center, Rochester, NY, (3)Duke University, Durham, NC
Background: Dupuytren's disease (DD) has associations with many factors, however there are currently no studies specifically evaluating the development of DD after carpal tunnel and trigger finger release. We sought to determine the incidence of DD following carpal tunnel release (CTR) or trigger digit release (TFR), and to examine factors associated with increased likelihood of developing DD after operative procedures of the hand.
Methods: The New York Statewide Planning and Research Cooperative System (SPARCS) Outpatient Database was queried for patients 18 years and older with no prior diagnosis of DD who underwent either endoscopic or open CTR and/or TFR from January 2017 through December 2019. The incidence of DD within 12-months following surgery was calculated, and we estimated multivariable logistic regression models to determine the likelihood of DD diagnosis.
Results: 111,214 patients underwent CTR and/or TFR and 138 patients had a diagnosis of DD in the following 12 months, for a cumulative one-year incidence of 0.12%. TFR (Odds Ratio [OR] 3.13,
P < 0.001, 95% Confidence Interval [CI] 2.06-4.76), concurrent CTR/TFR (OR 2.85,
P = 0.003, CI 1.33-5.67), Medicare insurance (OR 2.02,
P = 0.002, CI 1.31-3.11), and diabetes mellitus (OR 2.00,
P = 0.014, CI 1.15-3.35) were associated with a higher likelihood of DD diagnosis.
Conclusions: The incidence of DD in the year after CTR or TFR is 0.12%. Our modeling suggests the likelihood of DD after hand surgery is increased with TFR, concurrent CTR/TFR, Medicare insurance, and a diagnosis of diabetes mellitus.
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