Orthonotes
Orthonotes
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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.