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Dupuytren Contracture

Karl T. Clebak, FAAFP, MHA, MD, Shawn Phillips, MD and Ashley Nicole Koontz, DO Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Palmar fibromatosis; caused by progressive fibrous proliferation and tightening of the fascia of the palms, resulting in flexion deformities and loss of function

  • Not the same as “trig...

DIAGNOSIS

Diagnosis is largely clinical, based upon history and physical exam. 

HISTORY

  • Caucasian male aged 40 to 80 years

  • Family history and additional risk factors as listed above.

  • Commonly report loss ...

TREATMENT

No definitive cure exists. Patients must be educated that risk for recurrence exists with all treatment, surgical and non-surgical. 

GENERAL MEASURES

  • Observation for mild disease is reasonable

  • ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Regular follow-up every 6 months to 1 year 

PATIENT EDUCATION

  • Avoid risk factors (alcohol, vibratory exposure, etc.), especially if strong family ...

REFERENCES

1
Dutta A, Jayasinghe G, Deore S, et al. Dupuytren's Contracture - Current Concepts. J Clin Orthop Trauma. 2020;11(4):590-596.
2
Hueston JT. The table top test. Hand. 1982 Feb;14(1):100-3.
3
Mel...

ADDITIONAL READING

  • Ball  C, Pratt  AL, Nanchahal  J. Optimal functional outcome measures for assessing treatment for Dupuytren’s disease: a systematic review and recommendat...

CODES

ICD10

M72.0 Palmar fascial fibromatosis [Dupuytren] 

SNOMED

  • 274142002 Dupuytren's contracture (disorder)

  • 203047009 Dupuytren's disease of palm, with contracture

CLINICAL PEARLS

  • Dupuytren contracture is a fixed flexion deformity of (most commonly) the 4th and 5th digits due to palmar fibrosis. 90% of cases are progressive; not trigger finger, which is due to t...

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