Many people find that as they age it becomes increasingly difficult to fully extend or stretch their fingers. In many cases, arthritis or some other joint disease may be to blame. But a condition in the palm of the hand may also cause the fingers to contract. Dupuytren’s (pronounced du-pwe-trahns’) contracture is a fairly common condition that occurs when the connective tissue (fascia) under the skin begins to thicken and shorten. As the tissue tightens, it may pull the fingers down towards the palm of the hand. In some individuals, the condition may progress until the involved fingers become disabled.
Dupuytren’s disease is a proliferative fibroplasia of the subcutaneous palmar tissue, occurring in the form of nodules and cords, that may result in secondary progressive and irreversible flexion contractures of the finger joints. Other secondary changes include thinning of the overlying subcutaneous fat, adhesion to skin, and later pitting or dimpling of the skin.
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