College of Massage Therapists of British Columbia (CMTBC) Practice Exam

Dupuytren's Contracture primarily presents unilaterally or bilaterally?

1. Unilaterally

2. Bilateral

3. Can vary equally

4. Only in the dominant hand

The correct answer is: Bilateral

Dupuytren's Contracture typically presents bilaterally, although it can manifest more prominently in one hand than the other. This condition involves the thickening and shortening of the palmar fascia, which leads to flexion of the fingers, particularly the ring and little fingers. While it may start in one hand, the likelihood of it developing in both hands is significant due to its association with genetic predispositions and certain risk factors, such as age, sex, or underlying health conditions. Recognizing that Dupuytren's Contracture more commonly affects both hands helps in understanding its nature and potential treatment approaches. Clinicians often advise monitoring both hands for progression, regardless of where symptoms begin. This bilaterality is crucial for effective assessment and management of the condition, making it essential to consider both hands during treatment planning.