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Orthopaedics · Hand disorders: Dupuytren disease
Sample itemA patient has painless nodules and cords in the palm causing progressive flexion contracture of the ring finger. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Dupuytren disease
Dupuytren disease is fibroproliferation of the palmar fascia, producing nodules, cords, and flexion contractures, commonly of the ring and little fingers. It is not a tendon rupture.
Option by option
A. Dupuytren disease (correct)
Correct. Palmar fascial cords causing contracture define Dupuytren disease.
B. Mallet finger
Mallet finger is terminal extensor tendon injury at the DIP joint.
C. Trigger finger
Trigger finger causes locking from stenosing flexor tenosynovitis.
D. De Quervain tenosynovitis
De Quervain disease affects the first dorsal compartment at the radial wrist.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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