Dupuytren’s contracture

A condition in which the palmar fascia becomes thicker, causing the fingers, usually the middle and fourth fingers, to bend forwards [Described 1831. After Baron Guillaume Dupuytren (1775-1835), French surgeon.]


Painless condition in which the fourth and fifth fingers bend into the palm of the hand and resist extension because of progressive thickening of tissue beneath the skin in the palm. Of unknown cause, it primarily affects middle-aged men. Treatment involves surgical excision of excess tissue.


A disease that produces a rigid deformity of the hand, or hands, most commonly involving the inward bending of the ring finger and little finger, but sometimes progressing to involve all the fingers. Dupuytren contracture is painless and may progress slowly. The cause is unknown but the disease may be associated with alcoholism, liver disease, epilepsy, or diabetes mellitus. Treatment may include surgery.


Progressive thickening and contracture of the fascia in the palm of the hand with adherence of the overlying skin. A clawing deformity of the fingers, particularly the little and ring fingers, develops. Some patients also have liver disease, diabetes, epilepsy, and gout. Treatment may be unnecessary but surgery can help prevent fixed deformity. Research suggests that injection with collagenase may help in mild disease. Recurrence is not uncommon even after operation.


A condition affecting the hand where one or more fingers become permanently bent is observed. Approximately half of these instances witness the involvement of both hands. The cause remains unexplained in most situations, though there is some evidence suggesting genetic predisposition. The disorder predominantly affects men who are above 40 years old.


The tissues located beneath the skin of the fingers or palm undergo a process of thickening and shortening, leading to challenges in extending the fingers fully. While surgery can be utilized to rectify the finger deformities, there’s a possibility that the condition may return in some instances.


 


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