Dupuytren’s contracture

Dupuytren’s contracture — referral criteria for General surgery services.

Eligibility

At least one must be met for the patient to be eligible for referral.

Clinically suspected or confirmed dupuytren’s contracture with initial primary-care work-up completed

Routine referral criteria

Determine Category 2 or 3 urgency.

Skin breakdown or infection, or both, secondary to severe contracture

Metacarpophalangeal (MCP) joint flexion contracture greater than 30 degrees with functional impairment

Proximal interphalangeal (PIP) joint flexion contracture greater than 10 degrees with functional impairment

Recurrence of contracture after surgery with functional impairment

Usually managed in primary care

Palmar thickening or nodules without contracture
Contracture without functional impairment
Metacarpophalangeal (MCP) joint flexion contracture less than or equal to 30 degrees
Proximal interphalangeal joint (PIP) joint flexion contracture less than or equal to 10 degrees