American Board of Surgical Assistants (ABSA) Orthopedic Practice Test

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Study for the ABSA Orthopedic Test. Use flashcards and multiple choice questions with hints and explanations. Prepare to excel in your exam!

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What is the operative treatment for Dupuytren's contracture?

Palmar fasciectomy
Carpal tunnel release
Trigger finger release
Tenosynovectomy

The correct answer is: Palmar fasciectomy

Dupuytren's contracture is a condition characterized by the thickening and shortening of the palmar fascia, leading to a progressive inability to fully extend the fingers. The primary goal of treatment is to restore as much hand function as possible, particularly the ability to extend the affected fingers. Palmar fasciectomy is the definitive surgical procedure for treating Dupuytren's contracture. It involves the excision of the thickened fascia, which helps to release the contracture and restore movement in the affected fingers. This procedure often results in improved hand function and may prevent further progression of the contracture. In contrast, the other options listed are treatments for different conditions. Carpal tunnel release addresses issues related to compression of the median nerve in the carpal tunnel, while trigger finger release targets a specific issue with the flexor tendons in the fingers. Tenosynovectomy, on the other hand, is a procedure performed on tendon sheaths involved in inflammatory conditions, such as tenosynovitis, and does not address the underlying pathology present in Dupuytren's contracture. The focused approach of palmar fasciectomy specifically addresses the structural changes involved in Dupuytren's, making it the most appropriate treatment option.