Question: What is the name of the physical finding seen below?
Response: This is Dupuytren’s contracture – scar tissue develops in the normal fascial tissues of the palm, as a result of creation of myofibroblasts in the tissues. This causes scar and nodules in the fascia and thus the development of contractures, leading to the fingers bending forward. These can occur in alcohol and non-alcohol-related liver disease, diabetes, smoking, infection, seizure disorders, male sex, age above 40 years, and literature suggests that there is a genetic (autosomal dominant) predisposition to this. Those who have trauma to the hand with a genetic predisposition, may develop Dupuytren’s contracture.
References:
- Erickson, John. Dupuytren’s Contracture. JohnEricksonMD.com Accessed at https://www.johnericksonmd.com/ Accessed on January 22, 2022
- Gautum, P., Vijayavarman, V. & Verma, V. K. (2018). Bilateral Dupuytren’s Contracture in Chronic Liver Disease. International Journal of Contemporary Medical Research. 5(8). Accessed at https://www.ijcmr.com/uploads/7/7/4/6/77464738/ijcmr_2110_v1.pdf Accessed on January 30, 2022.
- (Authors not listed). Dupuytren’s Contracture. Yumpu. Accessed at https://www.yumpu.com/en/document/read/29321674/dupuytrens-contracture-dupuytren-foundation. Accessed on January 30, 2022.