Question
60 y/o right hand dominant farmer
Having difficulty around the farm
Diagnosis
What is pathogenesis / pathoanatomy
Demographic features / known risk factors
Describe important exam findings
Describe management
Answer
Fibroproliferative disorder of palmar aponeurosis / increased myofibroblasts and formation of type III collagen
Exam: Hueston table top test (Invented by a Melburnian)
Active and passive finger ROM – typically MCP +/- PIPJ effected in ring/little fingers
Author Contributions
Orthofracs team