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Dupuytren's Contracture

November 28th, 2019
 
 
 
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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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