skip to main content

Dupuytren's contracture in manual work — DOccMed MCQ

Instant feedback + full explanation. One question, done properly.

ModerateMusculoskeletal DisordersDupuytren's contracture in manual workDOccMed

A 57-year-old former miner has progressive flexion contracture of the ring finger and difficulty placing his palm flat. He previously used hand-held vibrating drills underground for 18 years and has no sensory loss. What is the most likely occupational diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Dupuytren's contracture associated with vibration exposure

A fixed flexion contracture and palmar fascial thickening suggest Dupuytren's contracture. It is recognised in industrial injuries contexts for certain exposures, including prolonged vibrating-tool use. Trigger finger causes locking rather than progressive palmar contracture. HAVS causes vascular and sensory symptoms, not palmar fascial shortening.

Reference: IIDB prescribed diseases guidance; HSE Vibration guidance