Dr. Saleem’s diagnostic approach for Dupuytren’s contracture includes:

• Clinical Examination: Assessing the patient’s hand for nodules or thickened tissue, as well as evaluating the degree of finger flexion and function.
• Assessment of Severity: Using the “table top test” to determine the extent of the contracture, which helps guide treatment options.

Treatment Options

Treatment for Dupuytren’s contracture may vary based on the severity of the condition:

• Non-Surgical Management: For early-stage contractures, Dr. Saleem may recommend:

  • Observation: Monitoring the condition if it is not significantly affecting function.
  • Hand Therapy: Providing exercises and splinting to maintain mobility and flexibility.

• Surgical Intervention: For more advanced cases, surgery may be necessary, which may involve:

  • Fasciectomy: Removing the affected tissue to restore finger movement.
  • Needle Aponeurotomy: A minimally invasive procedure that involves using a needle to break the thickened tissue.