Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • male >40 years of age
  • difficulties with manual activities
  • palmar nodule
  • palmar skin changes
  • pretendinous cords
  • MCP joint contracture
  • proximal interphalangeal (PIP) joint contracture
  • positive Hueston table-top test

Other diagnostic factors

  • bilateral involvement
  • Garrod nodes
  • involvement of plantar surface of the feet
  • involvement of penis

Risk factors

  • male gender
  • age >40 years
  • family history
  • diabetes mellitus
  • high alcohol intake
  • smoking
  • trauma
  • anticonvulsant medication

Diagnostic investigations

Treatment algorithm

Contributors

Authors VIEW ALL

UCONN Orthopaedic Sports Medicine Fellow

UConn Musculoskeletal Institute

Farmington

CT

Disclosures

DMA declares that he has no competing interests.

Professor

Sports Medicine

Fellowship Director

Department of Family, Community & Preventive Medicine

Drexel University College of Medicine

Philadelphia

PA

Disclosures

THT declares that he has no competing interests.

Assistant Professor

Department of Orthopaedic Surgery

University of Connecticut Health Center/New England Musculoskeletal Institute

Farmington

CT

Disclosures

CMR declares that he has no competing interests.

Peer reviewers VIEW ALL

Senior Clinical Lecturer in Orthopaedic and Trauma Surgery

Department of Orthopaedics and Trauma Surgery

TORT Centre

Ninewells Hospital

Dundee

UK

Disclosures

CW declares that he has no competing interests.

Specialist Registrar

Plastic Surgery

Salisbury District Hospital

Salisbury

UK

Disclosures

BT is an author of a reference cited in this monograph.

Assistant Professor

Orthopaedics

Wake Forest University Baptist Medical Center

Winston-Salem

NC

Disclosures

ZL declares that he has no competing interests.

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