Hand Pathology
A 62-year-old man of Northern European descent presents with progressive inability to fully extend his right ring finger. He has noticed nodules and cords in his palm developing over 3 years. He has a history of diabetes and epilepsy. Examination shows a palpable palmar cord extending to the ring finger with 45-degree flexion contracture at the MCP joint and 30-degree contracture at the PIP joint. He cannot place his palm flat on the table (positive tabletop test). Regarding Dupuytren disease:
Mark each as TRUE or FALSE
Dupuytren disease is a fibroproliferative disorder of the palmar fascia characterized by nodules and...
The ring finger is most commonly affected (70%), followed by the small finger; the pretendinous cord...
Dupuytren primarily affects the index finger; it is most common in African populations; females are ...
Indications for treatment include MCP contracture greater than 30 degrees or any PIP contracture aff...
PIP joint contracture has worse prognosis than MCP (harder to correct, more likely to recur); recurr...
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Click T (True) or F (False) for each option