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Dupuytren's contracture of the right little finger. Arrow marks the area of scarring. Typically, Dupuytren's contracture first presents as a thickening or nodule in the palm, which initially can be with or without pain. [11] Later in the disease process, which can be years later, [12] there is increasing loss of range of motion of the affected ...
Dupuytren's contracture is a deformity of the hand due to thickening and fibrosis of the palmar aponeurosis and eventual contracture of the 4th and 5th digits. Presenting as a small hard nodule in the base of the ring finger, it tends to affect the ring and little finger as puckering and adherence of the palmar aponeurosis to the skin.
Neurological disorders like cerebral palsy can result in hand contractures due to increased muscle tone and stiffness. There are different types of acquired hand deformities, each with distinct characteristics and underlying causes, such as boutonnière deformity , Dupuytren's contracture , gamekeeper's thumb, hand osteoarthritis deformity ...
Garrod's pads are named after Archibald Garrod who first documented them in 1904 in association with Dupuytren's contracture. [3] H.A. Bird described them as an incidental finding in a professional violinist and proposed that they arise in such cases due to repeated extreme tension of the extensor tendons over the interphalangeal joints. [4]
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Knuckle pads are benign subcutaneous fibrotic nodules that are seen in the finger joints and/or the extensor area of the foot. [6] [7] [8] From a clinical perspective, these are well-defined, non-compressible, freely moveable lesions that resemble warts and primarily affect the dorsal portion of the proximal interphalangeal (PIP) and, less frequently, the metacarpophalangeal (MCP) joints.
Guillaume Dupuytren, Baron Dupuytren (UK: / ˌ dj uː p w iː ˈ t r æ̃, dj uː ˈ p w iː t r ɛ n /, [1] US: / d ə p w iː ˈ t r æ̃, d ə ˈ p w iː t r ən /, [2] French: [ɡijom dypɥitʁɛ̃]; 5 October 1777 – 8 February 1835) was a French anatomist and military surgeon.
[3] [4] A similar disease is Dupuytren's disease, which affects the hand and causes bent hand or fingers. As in most forms of fibromatosis, it is usually benign and its onset varies with each patient. [5] The nodules are typically slow growing [2] [5] and most often found in the central and medial portions of the plantar fascia. [2]
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