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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Dupuytren Contracture Diathesis

Connective Tissue Disorders

A 55-year-old man of Northern European descent presents with progressive inability to fully extend his ring and little fingers. He has nodules in the palm and palpable cords extending to both digits. His father had similar problems requiring surgery. He also notes thickening on the soles of his feet. The ring finger has a 45-degree MCP contracture and a 30-degree PIP contracture. Regarding Dupuytren contracture:

Mark each as TRUE or FALSE

A

Dupuytren disease is a fibroproliferative disorder affecting the palmar fascia, characterized by myo...

B

Dupuytren diathesis indicates aggressive disease with higher recurrence risk; features include bilat...

C

Dupuytren disease involves the synovium rather than fascia; it primarily produces Type I collagen; i...

D

Anatomically, normal structures (pretendinous bands, natatory ligaments, spiral bands) become diseas...

E

Treatment is indicated when MCP contracture greater than 30 degrees, any PIP contracture, or positiv...

Answer the questions to see explanations

Click T (True) or F (False) for each option