Diabetic Exam
 

Dupuytren's Contracture

 
 
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Overview

    • Look For

    • Fixed flexion deformity of one or more fingers, associated with a nodule or cord over the palm proximal to the deformity.
    • Significance

    • Due to thickening of the palmar and digital fascia, resulting in fibrous band formation and flexion contractures of the MCP and PIP joints.
    • Associations

    • Hereditary Dupuytren’s
    • Diabetes
    • Alcohol excess
    • Smoking
    • Epilepsy
    • Trauma
    • Manual labour
  • Liver disease in the absence of alcohol abuse is not a risk factor for Dupuytren's contracture, rather the presence may be suggestive of alcoholic liver disease.
 
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