20240308 Dupuytren Dr Tan SH

What is the estimated worldwide prevalence of Dupuytren’s disease?

• 2%

• 4%

• 6%

• 8%

• 10%

A 70 years old well controlled diabetic man presented with Dupuytren’s contracture in clinic. He complains of stiffness of left ring finger and this had affected his function. Otherwise, there is no pain. Clinically, there are non-nodular cords at ring finger with MCPJ contracture of 15 degree.  What is most appropriate treatment?

• Observation

• Collagenase injection

• Percutaneous needle fasciotomy

• Fasciectomy

• Salvage procedure

A 30 years old man presented with Dupuytren’s contracture of bilateral hands in clinic. He complains of stiffness of ring fingers of both hands and this had affected his function. It was associated with pain. Clinically, there are painful nodular cords at ring finger with MCPJ contracture of 20 degrees.  What is most appropriate treatment?

• Observation

• Collagenase injection

• Percutaneous needle faciotomy

• Fasciectomy

• Salvage procedure

A 30 years old man presented with Dupuytren’s contracture of bilateral hands in clinic. He complains of stiffness of ring fingers of both hands and this had affected his function. The father and grandfather are suffering from same problem.  Otherwise, there is no pain. Clinically, there are non- nodular cords at ring finger with MCPJ contracture of 45 degree and PIPJ of 30 degree.  What is most appropriate treatment?

• Observation

• Collagenase injection

• Percutaneous needle faciotomy

• Fasciectomy

• Salvage procedure

Which of the following is a disadvantage of percutaneous needle fasciotomy?

• Longer recovery time

• Loss of sensibility over a greater area

• Higher recurrence rate

• Extensive scarring

• Extensive hematoma