Dupuytren contracture

• Idiopathic
• Pathology
  • Hypertrophy/metaplasia of palmar aponeurosis -> shrinkage of palmar aponeurosis -> the affected finger gets pulled -> flexion contracture
• Clinical features
  • Painless
    • The patient does not complain of pain but rather of the deformity
  • Most commonly affects the 4th finger, but can affect any finger
  • Flexion contracture of MCP and PIP joint
• Treatment
  • Surgical removal of the aponeurosis