First-Line Surgical Treatment of Dupuytren's Contracture in Primary Disease
This protocol addresses the first-line management of Dupuytren's contracture in primary disease. Clinical assessment — including the tabletop test — is central to identifying appropriate candidates for intervention.
Clinical Scenario
Primary Dupuytren's contracture with a positive tabletop test, where the deformity warrants active intervention at the level of the palmar fascia.
Treatment Approach
The protocol directs a surgical fasciectomy procedure targeting the affected palmar fascia. The complete clinical indications, patient selection criteria, procedural details, and management pathway are available in the full protocol below.
References
DOI: 10.1016/j.jhsg.2022.11.008
- Partial fasciectomy is the first-choice treatment.
- Apply partial fasciectomy, preferably in primary Dupuytren disease, and a positive tabletop test.
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