Certified Hand Therapist (CHT) Exam 2025 – 400 Free Practice Questions to Pass the Exam

Dupuytren's contracture is characterized by a pathological thickening and shortening of the palmar fascia, which is the connective tissue situated in the palm of the hand. This condition leads to a progressive contracture, primarily affecting the ring and little fingers, causing them to flex towards the palm. The tightening of the fascia restricts the normal extension of the fingers, which can significantly impair hand function and grip strength.

Understanding this condition involves recognizing the biological changes occurring in the fascia, particularly the formation of nodules and cords that lead to the characteristic hand deformity. Typically, this process is idiopathic, meaning the exact cause is not well understood, although factors like genetics and certain medical conditions may play a role.

In contrast to the other options, which include conditions affecting blood flow, tendon injuries, or nerve entrapments, these do not accurately describe the mechanical and structural changes seen in Dupuytren's contracture. The condition is distinct in that it involves a specific alteration to the fascia rather than the tendons, nerves, or vascular structures of the hand.