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Dupuytren's Contracture

 
 
 
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Overview

A dupuytren's contracture is a fixed flexion deformity of one or more fingers, associated with a nodule or cord over the palm proximal to the deformity.
  • Significance

  • Dupuytren's contractures occur 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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