MODERN APPROACH TO CLASSIFICATION OF DUPUYTREN DISEASE

Dupuytren's contracture, as any other problem nosological entity, has many classifications, in most of which the total angle of finger extension is the main criterion of separation into degrees. Depending on it, different authors separate three, four, or five degrees of disease. There is also a separation depending on the extension of the pathological process, the rate of contracture development, etc. Goal of the study: to separate and join main clinically significant criteria from the existent classifications of Dupuytren disease, as well as to create the single coding of the diagnosis of this disease for unification and standardization of observations in the Internet. Material and methods. Personal experience of examinations (more than 4000 hands of patients with Dupuytren disease having different degree of extension of the pathological process) and analysis of available literature and PubMed.com papers served as materials for this study. The study consists of two parts. The first part describes the evolution of ideas on classification of this disease and separates main clinically significant criteria, which can be used № 2 (65) июнь’ 2018 Вопросы реконструктивной и пластической хирургии В помощь практическому врачу 51 in routine practice. The second part proposes the classification joining main diagnostic criteria and their coding for the use in the world-wide web. Upon analysis of the most common and known classifications of the Dupuytren disease, we have formulated the extended classification of the disease, which joins the main diagnostic criteria, and its coding, which allows assessment of the degree and form of disease and the number of involved rays of palmar aponeurosis. Summary. The use of the proposed coding for description of the Dupuytren disease allows one to save time needed for filling medical forms without loss in completeness of description of the pathological process, while the standardization of diagnosis makes it clear at any language, which simplifies communications between specialists from different countries.

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