Dupuytren’s Disease
What is it: Dupuytren's disease, also known as Dupuytren's contracture, is caused by progressive contracture of the palmar fascia, ultimately resulting in fingers that are stuck in the flexed position, limiting extension.
How does it present: The patient may complain of a mild amount of pain at the onset of the condition, however initial findings my be a nodule or callused appearing area of the palmar fascia that begins to track along the region of the flexor tendon. As the area progresses, it causes the finger to become more flexed at the MCP and ultimately also the PIP joint. Typically later stages of the condition are not associated with pain.
Common exam findings: Exam may reveal the classic contracture of the palmar fascia along the flexor tendon region or nodules in the palmar fascia. The ring finger and little finger are the most commonly affected and there may be some association with medical conditions such as diabetes, alcoholism, repetitive vibrational trauma or pulmonary disease, but the actual cause is unknown.
Tests and treatment: Diagnosis is clinical. There is little that significantly slows the progression of the condition, but stretching the fingers in extension and the use of splints may slow the progress. If the condition is severely impacting daily function, surgical correction may be considered.