UMEM Educational Pearls



Dupuytren disease/contracture: nodular thickening and resultant contraction of the palmer fascia.

Increased in those of Northern European discent

Increased risk over age 50

Increased frequency in those with diabetes and cigarette smoking


One or more painful nodules located near the distal palmer crease.

Over a variable amount of time, the nodule progresses to form a taught fibrous cord

This extends from the palm to the digits, generally ulnar sided and typically the ring finger

Can cause flexion contracture of digit at MCP joint

Sensation is normal.

No imaging necessary

Tx:  padded gloves and activity modification for mild disease, steroid injection for moderate disease and surgery when contracture present