A surgical condition seen rather often, but by no means as frequently as injuries of the tendons and nerves of the hand, or contractures due to a loss of covering tissue, is the idiopathic contraction of the palm and fingers with which is associated the name of the man "whom living all admired, but whom few loved and no one understood," the founder of clinical surgery in France, Dupuytren.
Concerning it there are two essential facts that the surgeons should know: first as regards the pathologic manifestations and, second, the treatment:
From the very beginning of the disease a cord is felt on the palmar surfaces of the finger and hand, which is drawn tighter when an effort is made to straighten the fingers. The palmar fascia is in a state of thickening, contraction and tension, and from its lower portion something like cords proceed to the sides of the
KOCH SL. DUPUYTREN'S CONTRACTION. JAMA. 1933;100(12):878–880. doi:10.1001/jama.1933.02740120016006
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