Dupuytrens Contracture

Jack Abboudi and David S. Zelouf

History and Clinical Presentation

A 51 year-old right hand dominant construction supervisor presented with a 2- to 3-year history of a progressive right ring finger contracture. He denies a history of trauma. He is of Scottish descent, and his father has undergone bilateral Dupuytren's contracture releases. The patient denies a history of diabetes or other medical illnesses, and he is taking no medications.

Physical Examination

A prominent cord is noted in the palm in line with the ring finger extending to the level of the proximal interphalangeal (PIP) flexion crease. There was a prominent nodule present over the palmar aspect of the proximal phalanx, with a 60-degree metacarpophalangeal (MP) contracture and a 10-degree PIP contracture (Fig. 27-1). The left hand exhibited early palmar disease with no contracture. No knuckle pads were noted, and there was no involvement of the plantar surfaces of the feet.

Radiographic Findings

Plain x-rays of the right hand were unremarkable.

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