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Hand & Upper Limb
intermediate
X-Type

Dupuytren Disease Management

Hand Disorders

A 62-year-old man of Northern European descent presents with progressive inability to fully extend his right ring finger for 2 years. He has a positive family history and is a heavy drinker. Examination reveals nodules and a cord in the palm extending to the ring finger with a 45-degree PIP joint flexion contracture. The Hueston table-top test is positive. Regarding Dupuytren disease:

Mark each as TRUE or FALSE

A

Dupuytren disease is a fibroproliferative disorder of the palmar fascia with nodule and cord formati...

B

Pathological cords include: pretendinous cord (MCP contracture), central cord (MCP and PIP), spiral ...

C

Dupuytren is most common in African populations; the thumb and index are most affected; the neurovas...

D

Treatment indications include: MCP contracture greater than 30 degrees or any PIP contracture with f...

E

Complications include: nerve injury (especially with spiral cord displacing neurovascular bundle), a...

Answer the questions to see explanations

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