Dupuytren's Contractures Flashcards
1
Q
What is Dupuytren’s Contractures?
A
Progressive fibrotic thickening of palmar fascia
2
Q
What fingers are normally affected by Dupuytren’s contractures?
A
Ring finger and little finger
3
Q
What does dupuytren’s cause?
A
Inability to fully extend the metacarpophalangeal joint
4
Q
What are the main causes of dupuytren’s contractures?
A
- manual labour
- phenytoin treatment
- alcoholic liver disease
- diabetes mellitus
- trauma to the hand
- family history
5
Q
How is Dupuytren’s contractures diagnosed?
A
Hueston’s table test
6
Q
What is Hueston’s table test?
A
Joints cant be straightened so hand cant be placed flat on the table
7
Q
What is the medical management of Dupuytren’s?
A
Injectable collagenase
8
Q
What is the surgical (definitive) management of dupuytren’s contractures?
A
Fasciectomy
9
Q
What will a fasciectomy cause?
A
Z-shaped scar
