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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Dupuytren's Disease - Comprehensive Management

Dupuytren's Disease

A 62-year-old male of Northern European descent presents with progressive flexion contracture of the ring finger MCP joint measuring 35 degrees, present for 2 years. He has bilateral disease, a family history of Dupuytren's, and early Ledderhose disease (plantar fibromatosis). The PIP joint is unaffected. He requests the least invasive treatment option. Regarding Dupuytren's disease and its management:

Mark each as TRUE or FALSE

A

Dupuytren's disease is characterized by myofibroblast proliferation within the palmar fascia produci...

B

Dupuytren's diathesis describes aggressive disease defined by bilateral involvement, family history,...

C

Needle aponeurotomy (percutaneous fasciotomy) is appropriate for isolated cord disease at the MCP jo...

D

Collagenase clostridium histolyticum injection is contraindicated when the cord overlies the flexor ...

E

Limited fasciectomy excises the diseased cord and is the gold standard surgical treatment; Hueston's...

Answer the questions to see explanations

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