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Hand & Upper Limb
intermediate
X-Type

Dupuytren Contracture Management

Hand Disorders

A 65-year-old man of Northern European descent presents with progressive flexion contracture of his right ring finger. He first noticed a nodule in his palm 5 years ago. Now he cannot place his hand flat on the table (positive tabletop test). Examination shows a 45-degree MCP joint contracture and 30-degree PIP contracture with palpable cords extending from palm to finger. Regarding Dupuytren contracture:

Mark each as TRUE or FALSE

A

Dupuytren disease is a fibroproliferative disorder of the palmar and digital fascia predominantly af...

B

The pathological process involves myofibroblast proliferation and excessive type III collagen deposi...

C

Dupuytren disease is most common in Asian populations; it primarily affects women; the thumb is the ...

D

Indications for treatment include MCP contracture greater than 30 degrees, any PIP contracture, or f...

E

The tabletop test (Hueston) is positive when the palm and fingers cannot be placed flat on the table...

Answer the questions to see explanations

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