- This is a progressive shortening, thickening, and fibrosing of the palmar fascia and aponeurosis.
- This pulls the 5th and 4th fingers into partial flexion at the metacarpophalangeal joints and proximal interphalangeal joints.
- This is common in men over 50 years of age
- The cause is idiopathic.
- Treatment of Dupuytren's Contracture is surgical excision of all fibrotic parts of the palmar fascia to free the fingers.
- Particularly affects ring finger and little finger.
- Chronic alcoholics tend to have B1 deficiency. The B1 deficiency may be a cause of Dupuytren's Contracture.
- Does not affect the thumb.
- Lumbrical muscles remain unaffected
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