Dupuytrens Contracture Flashcards
1
Q
What is the aetiology of dupuytrens contracture?
A
Familial
Alcohol excess/smoking
Phenytoin treatment
2
Q
What is the pattern of inheritance in DC?
A
Autosomal dominant
3
Q
Who is most commonly affected by dupuytren’s contracture?
A
Middle aged men
4
Q
What is the pathology of DC?
A
Nodular thickening of the palmar fascia of ring + little finger
–>
Thickening + shortening of longitudinal fibres of palmar + digital fracture
–>
Fingers drawn in towards palm
5
Q
What is 1st line treatment?
A
Do nothing just observe
6
Q
What is the surgical options?
A
Partial fasciectomy
Fasciotomy
7
Q
What are the types of fasciotomy?
A
Percutaneous needle
Dermofasciotomy
8
Q
What is last line treatment?
A
Collagenase injection
