Dupuytren's disease. By Raoul Tubiana, Caroline Leclercq, Lawrence C. Hurst, Marie A. Badalamente and Evelyn J. Mackin. Pp 321. London: Martin Dunitz, 2000. ISBN: 1-85317-475-0. L65.00.
I enjoyed reviewing this book on Dupuytren's disease. The authorship is somewhat more extensive than is described on the fly leaf, with chapters added in an attempt to make the book more comprehensive and timely. This goal has been achieved.
The text was overseen by Lawrence Hurst, and the literary style is consistent and easy to read. The illustrations by Leon Dorn are superb and play an important part in clarifying the anatomy of the hand and the pathological processes associated with Dupuytren's disease. Some of the photographs failed to carry their intended message, and more extensive use of illustrations by Mr Dom for a second edition would seem appropriate.
I have very few criticisms. Professor Tubiana stresses the degree of contracture in relation to the timing of surgical intervention. I would have thought that some statement on the rate of progression should have been included, since it is the combination of these factors which triggers operative intervention. I tend to intervene early in a rapidly progressive contracture with a smaller extension deficit.
The rehabilitation section does not, to my mind, fully address the issue of the postoperative role of splintage or its duration. Many surgeons splint the fingers in maximal extension routinely for six months, but that protocol may represent unnecessary overtreatment. The role of postoperative splintage remains uncertain and needs clarification.
The senior author concludes the text with a succinct overview of the principles governing Dupuytren's disease which will be particularly useful for trainee surgeons wishing to gain an understanding of this confusing entity. I recommend this book to trainee surgeons in orthopaedics, particularly those with an interest in hand surgery. It will be a useful addition to any orthopaedic library.
Copyright British Editorial Society of Bone & Joint Surgery Sep 2001
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