Dupuytren Disease Flashcards
1
Q
What is the pathology of Dupuytren Disease?
A
Nodular hypertrophy, contracture of superficial palmar fascia Loss of function of MCP,PIP due to contracture Slowly occurs Progressive over several years Thickening of skin starts Bands of fibrotic tissue occur in palm Affected fingers pulled into flexion Typically occurs bilaterally
2
Q
What are the factors of Dupuyten Disease?
A
\+Northern Europe descent \+males 60, +age Genetic Alcohol Smoking Manual labour Low BMI Anticonvulsant drugs Associated with diabetes, epilepsy, HIV, adhesive capsulitis, cancer
3
Q
What is the surgical management of dupuytren?
A
Simple fasciotomy
Fasciotomy
Dermo fasciectomy
Amputation of digits
