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...
Caucasian male, aged 50 to 60 years
Family history
Mild pain early:
Begins in palm and spreads to digits
Unilateral or bilateral (50%)
Right hand more frequent
Ring finger or little finger ...
Physical therapy alone is ineffective:
Intermittent splinting is unlikely to be effective.
Continuous splinting may help pre- and postop.
Follow isolated involvement of palmar f...
Avoid risk factors (alcohol, vibratory exposure, etc.), especially if strong family ...
Ball C, Pratt AL, Nanchahal J. Optimal functional outcome measures for assessing treatment for Dupuytren’s disease: a systematic review and recommendations for future practice. BMC ...
274142002 Dupuytren’s contracture (disorder)
203047009 Dupuytren’s disease of palm, with contractur...
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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<bold>FIG. 67.1.</bold> A: Dupuytren's contracture of the palmar flexor tendons. B: Surgical dissection showing thickening and contracture of the tendon and its surrounding aponeurosis.
<bold>FIG. 67.1.</bold> A: Dupuytren's contracture of the palmar flexor tendons. B: Surgical dissection showing thickening and...
Dupuytren contracture. Painless sclerosing tenosynovitis in a middle-aged man.
Clinical photographs of subtotal palmar fasciectomy. F: Sheath opened over proximal interphalangeal (PIP) joint, and flexor tendons retracted in preparation for capsulectomy.
Clinical photographs of subtotal palmar fasciectomy. F: Sheath opened over proximal interphalangeal (PIP) joint, and flexor tendons retrac...