Upper Limb

Question 1

Name the highest risk factor patient to have dupytren’s contracture

Answer 1

A diabetic viking man with a positive family of Dupytren’s
(associated with)
one who drinks, smokes with ALD & epilepsy.

Thickening of palmar fascia

Question 2

Which fingers are most affected by Dupytrens?

Answer 2

MOST COMMON
1) Ring
2) Little
3) Middle
4) Index
LEAST COMMON

Question 3

Conservative treatment for Dupytrens’?

Answer 3

1) Reassure
2) Physio
3) Splint

Question 4

Medical treatment for Dupytrens’?

Answer 4

1) Collagenase

Question 5

Surgical treatment for Dupytrens’?

Answer 5

LEAST SEVERE CASES
1) Fasciotomy
2) Limited fasciectomy
3) Segmental fasciectomy
4) Dermofasciectomy (with possible skin graft)
5) Amputation - in very severe cases
MOST SEVERE CASES