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 sex
- age >40 years
- family history
- diabetes mellitus
- high alcohol intake
- smoking
- trauma
- anticonvulsant medication
Diagnostic investigations
Treatment algorithm
Contributors
Authors
Professor
Chief, Division of 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.
Professor Thomas H. Trojian and Dr Craig M. Rodner would like to gratefully acknowledge Dr Daniel M. Avery, a previous contributor to this topic. DMA declares that he has no competing interests.
Peer reviewers
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 topic.
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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