Dupuytren Disease
A 62-year-old man of Northern European descent presents with progressive inability to fully extend his right ring and small fingers over the past 3 years. He has palpable nodules in the palm and cords extending to the fingers with 40Ā° MCP contracture and 60Ā° PIP contracture of the small finger. His father and brother have similar deformities. The surgeon discusses the pathological anatomy and treatment options. Regarding Dupuytren disease:
Mark each as TRUE or FALSE
The ring finger is most commonly affected (70%), followed by small finger (50%); bilateral involveme...
The pretendinous cord (from pretendinous band) causes MCP flexion contracture; the spiral cord (from...
The spiral cord displaces the neurovascular bundle dorsally and laterally, making surgical dissectio...
The spiral cord displaces the neurovascular bundle VOLAR (superficial) and CENTRAL (toward midline),...
Treatment options include needle aponeurotomy, collagenase injection (enzymatic fasciotomy), and sur...
Answer the questions to see explanations
Click T (True) or F (False) for each option