1. What is the mechanism of Dupuytren's contractures?
2. What factors predispose to Dupuytren's contractures?
3. What is seen clinically?
4. What is the treatment?
Answers:
1. Thickening of the palmar fascia due to fibrous proliferation.
2. Genetics (Northern Europeans), DM, EtOH, epilepsy, pulmonary TB, men > 40.
3. Painless nodules in distal palmar crease, initially nontender but may become tender. Involved finger may be drawn into flexion.
4. US, splinting, massage, possible surgical release if severe.
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