Dupuytren’s contracture

Definition:

Fibrosis (thickening) with subsequent contraction of palmar fascia causing fixed flexion of ring and little finger.

Causes:

Precise cause of fibrosis is unknown but risk factors include: cirrhosis, alcoholism and diabetes mellitus.

Examination:

Observe both patient’s hands for skin colour, swelling and deformity. Presentation of Dupuytren’s is usually bilateral but one hand is often affected more than the other. There may be associated skin and fascia changes, with fascial thickening preceding contracture. Palpation may also reveal non-tender palmar nodules.