5 - Dupuytrens disease

Question 1

describe the M:F ratio?

Answer 1

M : F = 8 : 1 in 15 – 64’s

M : F = 2 : 1 in over 75’s

Question 2

type of inheritance pattern?

Answer 2

autosomal dominant

Question 3

what % cases is sporadic?

Answer 3

30% cases

Question 4

relationship with race?

Answer 4

almost exclusively white race

Question 5

what pneumonic can be used to remember the associations of dupuytrens?

Answer 5

HATED - HIV, alcohol, tobacco, epilepsy, diabetes

Question 6

5 functional problems?

Answer 6

no pain, loss of finger extension, hand in pocket, gripping things, washing face

Question 7

non-operative treatment?

Answer 7

observe, radiotherapy

Question 8

4 operative treatments?

Answer 8

partial fasciectomy, dermo-fasciectomy, percutaneous needle fasciotomy, amputation

Question 9

most common operative treatment?

Answer 9

partial fascietomy

Question 10

1 adv and 1 disadv to dermo-fascietomy?

Answer 10

adv - reduced recurrence rates,

disadv - intensive physio needed

Question 11

1 adv and 1 disadv to percutaneous needle fascietomy?

Answer 11

quick and no wounds, risk of nerve injury