How to Test for Dupuytren’s Contracture
When it comes to testing for Dupuytren’s contracture, there are various methods available. One way is for a doctor to visually and physically examine the hands, checking for any abnormalities. Another common test involves the patient performing the tabletop test. This test requires placing the hand palm down on a table and attempting to fully flatten the fingers. If the fingers cannot be completely flattened and there are noticeable knots and thickened cords, it strongly indicates the presence of Dupuytren’s contracture. In some cases, genetic testing may be necessary for confirmation. Although genetic testing offers more definitive results than the tabletop test, it also has its limitations and potential risks.
Treatment: Limited Fasciectomies
When it comes to treating Dupuytren’s contracture, one of the most commonly used surgical methods is limited fasciectomy. This procedure involves the removal of the strips of fascia that are responsible for causing the condition. To perform a limited fasciectomy, the patient is typically placed under either regional or general anesthesia. During the surgery, the surgeon carefully opens the skin and excises the affected cords and fascia. Since the hand contains numerous neurovascular bundles, it is crucial for the surgeon to exercise extreme precision to ensure a successful and complete recovery. Generally, it takes approximately six weeks for a patient to fully recover from a limited fasciectomy.