Dupuytren's contracture has a prevalence of about 5%. It is more common in older male patients and around 60-70% have a positive family history

Specific causes include:

• manual labour
• phenytoin treatment
• alcoholic liver disease
• diabetes mellitus
• trauma to the hand

Features

• the ring finger and little finger are the fingers most commonly affected

Management

• consider surgical treatment of Dupuytren's contracture when the metacarpophalangeal joints cannot be straightened and thus the hand cannot be placed flat on the table