Dupuytren's contracture is a poorly understood disorder resulting in fibroplastic changes of the subcutaneous tissues of the palm and volar aspect of the fingers. There appears to be a genetic component, and the condition is found most commonly in men of northern European descent.19 This process eventually may lead to tethering and joint contracture. Firm longitudinal thickening and nodularity of the superficial tissues usually are readily appreciated. The diagnosis is made by identifying a nodule in the palm, usually at the distal palmar crease of the ring or small finger, which is held in the classic flexion contracture. 20 This condition should be referred to a skilled hand specialist because surgical excision of the fibrotic bands is usually palliative.
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