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Dupuytren Contracture Updated 4/2011

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BASICS

  • Description
  • Epidemiology
  • Risk Factors
  • General Prevention
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Medication (Drugs)
  • Additional Treatment
  • Surgery

Ongoing Care

  • Follow-Up Recommendations
  • Patient Education
  • Prognosis
  • Complications
The following is an excerpt....
BASICS
Description
  • Palmar fibromatosis; due to progressive fibrous proliferation and tightening of the fascia inside the palms, resulting in flexion deformities and loss of function
  • Not the same as “trigger finger,” which is caused by thickening of the distal flexor tendon
  • Similar change may rarely occur in plantar fascia; it usually appears simultaneously.
  • System(s) affected: Musculoskeletal
Epidemiology
Prevalence
  • Unknown in United States
  • Norway: 9% males and 3% females
Risk Factors
  • Smoking (mean 16 pack-years, odds ratio 2.8)
  • Increasing age
  • Male/Caucasian
  • Workers exposed to vibration
  • Diabetes mellitus (1/3 affected, increases with time, usually mild; middle and ring finger involved)
  • Epilepsy
  • Chronic illness (e.g., pulmonary tuberculosis, liver disease, HIV)
  • Hypercholesterolemia
  • Alcohol consumption
Genetics
  • Autosomal-dominant with ...

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See Also
Images >
123

Dupuytren contracture. Painless sclerosing tenosynovitis in a middle-aged man.

Courtesy of Jeremy Golding, MD