Orthonotes
Orthonotes
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v3.0 Fusion
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Dupuytren’s Contracture

Fibroproliferative disorder of palmar fascia causing fixed flexion deformity of fingers. Risk factors: male, >40 years, northern European descent, diabetes, alcoholism, smoking. Commonly affects ring and little finger; cords/nodules palpable. Hueston’s tabletop test positive (cannot place palm flat on table). Treatment: needle aponeurotomy, limited fasciectomy, collagenase injection; recurrence common.

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Fibroproliferative disorder of palmar fascia causing fixed flexion deformity of fingers. Risk factors: male, >40 years, northern European descent, diabetes, alcoholism, smoking. Commonly affects ring and little finger; cords/nodules palpable. Hueston’s tabletop test positive (cannot place palm flat on table). Treatment: needle aponeurotomy, limited fasciectomy, collagenase injection; recurrence common.
MCQs

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Question 1

What is the most common finger affected by Dupuytren's contracture?

Question 2

Which of the following is a key risk factor for developing Dupuytren's contracture?

Question 3

What does a positive Hueston’s tabletop test indicate?

Question 4

Which cellular component is primarily responsible for the contractile force in Dupuytren's contracture?

Question 5

What is the primary treatment option for Dupuytren's contracture that involves the injection of an enzymatic preparation?

Question 6

Dupuytren's contracture is characterized by the replacement of which type of collagen during the disease progression?

Question 7

What anatomical structure is most at risk during surgical intervention for Dupuytren's contracture due to the presence of the spiral cord?

Question 8

Which of the following features is NOT associated with Dupuytren's diathesis?

Question 9

Which of the following is a characteristic finding in the physical examination of a patient with Dupuytren's contracture?

Question 10

What is the recurrence rate after surgical treatment for Dupuytren's contracture?