43

CASE 43

A 55-year-old man with diabetes mellitus presented with a complaint of contracture of his left fourth digit. He informs you that his father had the same condition many years ago. A nodule was discovered in the patient’s palm during examination. The patient was diagnosed with Dupuytren’s disease (contracture) and the deformity was surgically corrected.

WHAT STRUCTURE WAS THICKENED, RESULTING IN THE NODULE IN THE PATIENT’S PALM?

Dupuytren’s contracture is the result of an abnormal fibrotic thickening of the palmar aponeurosis. The aponeurosis contracts as it thickens, causing flexion of the metacarpophalangeal joint and the proximal interphalangeal joint (Fig. 6-5).

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Tags: Problem-Based Anatomy

Jun 16, 2016 | Posted by admin in ANATOMY | Comments Off

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