dupuytrens contracture Flashcards
1
Q
what is it?
A
superficial fibromatosis that starts in the hand
2
Q
what causes it?
A
mainly genetics - autosomal dominant , variable penetration
diabetes mellitus
alcohol/cirrhosis
3
Q
what is the pathophysiology?
A
palmar fascia gets thicker and fibrosed until 4th and 5th fingers permanently flexed
bands are primarily collagen type III
4
Q
what are the symptoms?
A
painless, gradual progression
flexor contracture affecting 4th and 5th fingers
5
Q
what are the signs?
A
palpate cords
MCP/PIP joint involvement - measure angles
table top test - inability to flatten hand
6
Q
what investigations are used?
A
mainly clinical diagnosis
feel cords
MCP/PIP joint involvement
table-top
7
Q
what is the conservative management?
A
observation, stretches, activity modification
8
Q
A
