Dupuytren's contracture

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Tests and diagnosis

By Mayo Clinic staff

A simple maneuver, called the tabletop test, can determine if you have a contracture in your hand. If you can lay your hand, palm down, flat on a tabletop, you don't have a contracture.

In most cases, though, doctors can diagnose Dupuytren's contracture simply by looking at and feeling your hands. Other diagnostic tests are rarely necessary.

References
  1. Calandruccio JH. Dupuytren contracture. In: Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2007. http://www.mdconsult.com/das/book/body/185412162-4/958195331/1584/560.html#4-u1.0-B978-0-323-03329-9..50075-1_3999. Accessed Feb. 24, 2010.
  2. Sheon RP, et al. Dupuytren's contracture. http://www.uptodate.com/home/index.html. Accessed Feb. 24, 2010.
  3. Stretanski MF. Dupuytren contracture. In: Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/185680318-3/958880137/1678/28.html#4-u1.0-B978-1-4160-4007-1..50027-4_405. Accessed Feb. 25, 2010.
  4. Dupuytren's contracture. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00008. Accessed Feb. 24, 2010.
  5. Rayan GM. Nonoperative treatment of Dupuytren's disease. Journal of Hand Surgery. 2008;33A:1208.
  6. Amadio PC (expert opinion). Mayo Clinic, Rochester, Minn. March 8, 2010.
  7. Hurst LC, et al. Injectable collagenase clostridium histolyticum for Dupuytren's contracture. New England Journal of Medicine. 2009;361:968.
  8. Xiaflex (prescribing information). Malvern, Pa.: Auxilium Pharmaceuticals, Inc.; 2010. http://www.xiaflex.com/XIAFLEX_prescribing_info.jsp. Accessed March 15, 2010.
  9. Mercier LR. Dupuytren's contracture. In: Ferri FF. Ferri's Clinical Advisor 2010. Philadelphia, Pa.: Mosby Elsevier; 2009. http://www.mdconsult.com/das/book/body/186345095-3/960507000/2088/198.html#4-u1.0-B978-0-323-05609-0..00013-7--sc0110_4003. Accessed Feb. 25, 2010.
DS00732 May 15, 2010

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