Table of Contents AssociationsClinical features Management Non-surgicalMinimally invasiveSurgical (open)Complications of surgical interventionOther collagen disorders are associated with Dupuytren’s contracture. What are their characteristic features?Try a related OSCE station Progressive palmar fascia thickening that results in tethering, fixed finger flexion and skin puckering. Associations Family history Liver disease/alcohol Antiepileptic drugs Diabetes mellitus As a feature of other collagen tissue disorders (see questions below) Clinical features Fixed flexion of fingers (especially little and ring fingers) Thickened palmar fascia Positive table top test (functional test) Dupuytren’s contracture Management Non-surgical Conservative management if not limiting function Splinting and physiotherapy Corticosteroid injections Collagenase injections (collagenase enzymes break down collagen) Minimally invasive Needle aponeurotomy (parts of contracted cord weakened by needle manipulation) Percutaneous fasciotomy (parts of contracted cord weakened by multiple incisions) Segmental aponeurotomy (segments of contracted cord removed by small incisions) Surgical (open) Partial fasciectomy (diseased fascia removed) Dermofasciectomy (skin also removed and replaced with skin graft) – lowest recurrence rate Complications of surgical intervention Recurrence (50%) Bleeding Scarring Infection Neurovascular complications Other collagen disorders are associated with Dupuytren’s contracture. What are their characteristic features? Peyronie’s disease Oops! This section is restricted to members. Ledderhose disease Oops! This section is restricted to members. Garrod’s disease Oops! This section is restricted to members. Try a related OSCE station Chronic liver disease abdominal exam Find more here Picture references Dupuytren’s contracture: 2010 James Heilman, MD, Creative Commons Attribution-Share Alike 3.0 Unported license (https://creativecommons.org/licenses/by-sa/3.0/deed.en). Sourced from: https://commons.wikimedia.org/wiki/File:Dupuytren%27s2010.JPG