Epidermoid Cysts after Percutaneous Needle Fasciotomy for Dupuytren Contracture: Literature Review

David Breidung, MD; Sarina Delavari, MD; Ioannis-Fivos Megas, MD; Moritz Billner, MD; Bert Reichert, MD

doi:10.1097/GOX.0000000000005786

Plastic and Reconstructive Surgery, Global Open (May 2024)

Epidermoid Cysts after Percutaneous Needle Fasciotomy for Dupuytren Contracture: Literature Review

David Breidung, MD,
Sarina Delavari, MD,
Ioannis-Fivos Megas, MD,
Moritz Billner, MD,
Bert Reichert, MD

Affiliations

David Breidung, MD: From the * Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries, Paracelsus Medical University, Klinikum Nürnberg, Nuremberg, Germany
Sarina Delavari, MD: ‡ Department of General and Visceral Surgery, Hospital Martha-Maria, Nuremberg, Germany.
Ioannis-Fivos Megas, MD: From the * Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries, Paracelsus Medical University, Klinikum Nürnberg, Nuremberg, Germany
Moritz Billner, MD: From the * Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries, Paracelsus Medical University, Klinikum Nürnberg, Nuremberg, Germany
Bert Reichert, MD: From the * Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries, Paracelsus Medical University, Klinikum Nürnberg, Nuremberg, Germany

DOI: https://doi.org/10.1097/GOX.0000000000005786
Journal volume & issue: Vol. 12, no. 5
p. e5786

Abstract

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Summary:. This case report presents a rare complication after percutaneous needle fasciotomy for Dupuytren contracture: the development of epidermoid cysts. A 60-year-old man who had previously undergone a needle fasciotomy required a subsequent limited fasciectomy due to disease progression. Unexpectedly, epidermoid cysts were discovered during the procedure. The successful removal of the cysts, together with the removal of the contracture cord, resulted in a good functional outcome. The conducted literature review identified four case reports of epidermoid or dermoid cysts after treatment for Dupuytren contracture. The reported cases in the literature and our case emphasize the need for adaptability in the management of Dupuytren contracture and the potential for unexpected complications. Further investigation is essential to understand the relationship between Dupuytren disease and cyst formation.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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