Introduction

Dupuytren's contracture has a prevalence of about 5%. It is more common in older male patients and around 60-70% have a positive family history

Epidemiology

  • Incidence: 1000.00 cases per 100,000 person-years
  • Peak incidence: 70+ years
  • Sex ratio: more common in males 5:1
<1 1-5 6+ 16+ 30+ 40+ 50+ 60+ 70+ 80+

Aetiology

Specific causes include:
  • manual labour
  • phenytoin treatment
  • alcoholic liver disease
  • diabetes mellitus
  • trauma to the hand

Clinical features

Features
  • the ring finger and little finger are the fingers most commonly affected

Management

Management
  • consider surgical treatment of Dupuytren's contracture when the metacarpophalangeal joints cannot be straightened and thus the hand cannot be placed flat on the table