ICD-10 code: M72. 0 Palmar fascial fibromatosis [Dupuytren]
Dupuytren's contracture (also called Dupuytren's disease) is an abnormal thickening of the skin in the palm of your hand at the base of your fingers. This thickened area may develop into a hard lump or thick band. Over time, it can cause one or more fingers to curl (contract), or pull sideways or in toward your palm.
Dupuytren's contracture often runs in families. Tobacco and alcohol use. Smoking is associated with an increased risk of Dupuytren's contracture, perhaps because of microscopic changes within blood vessels caused by smoking. Alcohol intake also is associated with Dupuytren's.
What Is Dupuytren's Contracture? 1/9. Dupuytren's (du-pwe-TRANZ) contracture is a condition that gradually causes connective tissue (fascia) under the skin of your palm to thicken and become scar-like. Although Dupuytren's isn't always painful, it does restrict movement.
Unlike a finger which is bent due to trigger finger, a finger bent by Dupuytren's contracture is unable to straighten, even with help from the other hand. Trigger finger can be treated conservatively in mild cases, with treatment options including use of an oral anti-inflammatory medication or injection of cortisone.
Dupuytren's contracture: This form of arthritis causes the tissue beneath the hand to develop nodules in the fingers and palms. These lumps can cause the fingers to stick in place.
Dupuytren's disease is a benign, progressive fibroproliferative disease of the palmar fascia that results in flexion contractures of the involved digits and significant functional impairment. It is also associated with debilitating fibromatoses of the feet (Ledderhose disease) and the penis (Peyronie's disease).
In terms of the immunological features of DD, evidence has persistently suggested the involvement of both T and B lymphocytes in DD etiology [7, 38]. As such, the disease has frequently been termed a “T-cell-mediated autoimmune disorder” [6].
Dupuytren's disease has been given the moniker “the Viking disease” due to its prevalence in the north of Europe and those of Northern European descent.
The most common contractures observed in dystrophinopathies in the order of frequency are ankle plantar flexion, knee flexion, hip flexion, hip abduction, elbow flexion, and wrist flexion contractures.
Dupuytren contracture is usually passed down through generations in families and is the most common inherited disorder of connective tissue. The inheritance pattern is often unclear. Some people who inherit gene changes associated with Dupuytren contracture never develop the condition.
750,000 Americans have severe Dupuytren biology and the risk of being crippled despite available treatment. After age 55, the percent of people with Dupuytren disease increases steadily in both men and women. By age 70, one-quarter of men have signs of Dupuytren, increasing to one-third by age 80.