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Dupuytren Contracture

Karl T. Clebak, MD, MHA, FAAFP, Morgan Lee Chambers, MEd, MD and Shawn F Phillips, MSPT, MD Reviewed 04/2024
 


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 and all treatments are palliative. Patients must be educated that risk for recurrence exists with all treatment, surgical and non-surgical (3). 

GENERAL MEASURES

  • Obs...

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
Mella JR, Guo L, Hung V. Dupuytren's Contracture: An Evidence Bas...

ADDITIONAL READING

  • Eaton  C. Evidence-based medicine: Dupuytren contracture. Plast Reconstr Surg.  2014;133(5):1241–1251.

  • Lanting  R, Broekstra ...

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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