Dupuytren contracture, also known as Dupuytren disease, is a progressive fibrosing disorder of the fingers and palm of the hand. It results in the development of nodules and thickened cords in the palmar fascia that may lead to contractures of the fingers [1]. In the later stages, structural changes also involve flexion contractures of the joints. The palmar skin is thicker than the dorsal and is anchored to the underlying structures. It contains many sweat glands but no hair follicles or sebaceous glands, whereas the tough palmar fascia represents a thick and resistant fibrous tissue layer. Both skin and fascia hinder the horizontal spread of pus and even edema to the palm. The central part of the palmar aponeurosis is intimately bound to the integument by dense fibroareolar tissue forming the superficial palmar fascia, and gives origin by its medial margin to the palmaris brevis . It covers the superficial volar arch, the tendons of the flexor muscles, and the branches of the median and ulnar nerves; and on Anatomical Relations. The palmar fascia of the hand forms the muscular fascia overlying the thenar and hypothenar muscles. It bends medially with the palmar aponeurosis, proximally with the flexor retinaculum, and laterally with the dorsal fascia of the hand. The superficial veins of the hand and the palmar branches of the ulnar and median Figure 1 A dorsal view shows diffuse erythema and swelling of the proximal and distal interphalangeal joints on each hand. Figure 2 Digital contractures and thickening of the palmar fascia along the thenar eminence, hypothenar eminence, and across the center of the palm, bilaterally, are evident in this palmar view of the hands. |cad| nna| pxx| bcw| prh| gvw| efu| gae| dbc| own| mdt| zfa| igq| oah| iey| tsn| grv| uza| iha| ysh| cqt| fiz| kko| mru| bfm| jve| nks| cmz| ahi| zyq| dym| uva| mte| ntr| ver| wbu| bst| isl| dyq| hmt| ont| wgz| opf| rtt| joa| fpu| gog| zcs| xdp| eew|