Stephen J. Schueler, M.D.

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Palmar Contracture Evaluation

Hand Anatomy
Evaluation of Dupuytren's contracture usually requires a history and physical examination.

Physical findings may include:

  • Tendons tighten beneath the skin

The tabletop test can be used to assess the need for corrective surgery. A positive test is one where the patient is unable to touch the underside (palmar side) of each digit to the surface of a table when the palm is placed flat on the tabletop.

Testing is not necessary to make the diagnosis of Dupuytren's contracture.

Tests that may be used to evaluate Dupuytren's contracture include:
  • MRI scanning of the hand:
    • Used to visualize the internal structures of the hand
    • Gauges the severity of disease

Continue to Palmar Contracture Treatment

Last Updated: Dec 10, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Palmar Contracture References
  1. Draviaraj KP, Chakrabarti I. Functional outcome after surgery for Dupuytren's contracture: a prospective study. J Hand Surg [Am]. 2004 Sep;29(5):804-8. [15465228]
  2. Skoff HD. The surgical treatment of Dupuytren's contracture: a synthesis of techniques. Plast Reconstr Surg. 2004 Feb;113(2):540-4. [14758215]
  3. Wilbrand S, Ekbom A, Gerdin B. A cohort study linked increased mortality in patients treated surgically for Dupuytren's contracture. J Clin Epidemiol. 2005 Jan;58(1):68-74. [15649673]
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