Dupuytren's contracture Flashcards
1
Q
What is it?
A
Where the fascia of the hand becomes thickened and tight
2
Q
what are risk factors
A
age
fhx
male
manual labour - particularly with vibrating tools
diabetes
epilepsy
smoking
alcohol
3
Q
What inheritance pattern does it ave?
A
autosomal dominant
4
Q
What is the presentation
A
Hard nodules on the palm
Finger pulled into flexion, unable to extend fully
5
Q
What fingers is most commonly affected.
A
ring finger
6
Q
what is the table top test
A
If patient can’t rest hand completely flat - positive
7
Q
what are the management options?
A
Conservative
Surgical
1. Needle fasciotomy
2. Limited fasciectomy
3. Dermofasciectomy - removing abnormal fascia and cord as well as skin
