1 Before you use it
What it is
A clinician-measured staging system for Dupuytren's, based on the total flexion deformity of a ray — the sum of the MCP, PIP and DIP contractures — sorted into stages 0 through IV.
When to reach for it
At baseline for any Dupuytren's presentation, and at review to track progression.
Pair it with URAM. Deformity and function are different questions and the referral conversation needs both.
Patterns it serves · 1
2 Giving it
Scoring
Measure each joint's fixed flexion deformity with a goniometer, sum them per digit, and assign the stage. Record the raw degrees as well as the stage — the degrees are what change, and the stage is a coarse bucket.
What it doesn’t measure
Function, and it does not predict progression. Use URAM for function.
3 Reading the score
Interpreting it
Higher stage means greater deformity. No verified thresholds for intervention are carried in our library and none are printed here.
Staging is not an indication. The commonly cited surgical triggers are functional and clinical — the table-top test, MCP contracture beyond about 30°, any PIP contracture — and they are decided by a hand surgeon, not by you.
Is the change real?
Student trap. Recording the stage and not the degrees. Stages are wide — a patient can deteriorate substantially without changing stage.
Official source: pmc.ncbi.nlm.nih.gov. We don't host the form.
This is a learning tool. It does not diagnose patients and does not replace your clinical educator.
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CliniStudy is in beta. One tap is enough — it decides what gets fixed first.