Dupuytren's Contracture: Symptoms & Signs

Medically Reviewed on 7/24/2020

Dupuytren's contracture refers to localized scar tissue around the tendons that flex the fingers located in the palm of the hand. The scarring builds up in the palmar fascia, a tissue that normally covers the tendons. It occurs more frequently in people with epilepsy, alcoholism, and diabetes. Some cases are inherited and run in families.

Signs and symptoms of Dupuytren's contracture include

  • a painless lump in the palm near the base of the fingers,
  • dimpling and puckering of the skin over the palm, and
  • being unable to fully extend the fingers.

Dupuytren's contracture most commonly affects the fourth (ring) and fifth (little) fingers, but it can involve any finger.

Cause of Dupuytren's contracture

The condition typically progresses over time, and the exact cause of Dupuytren's contracture is not known.

Other dupuytren's contracture symptoms and signs

  • Being Unable to Fully Extend the Fingers
  • Dimpling and Puckering of the Skin Over the Palm
  • Painless Lump in the Palm Near the Base of the Fingers


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Jameson, J. Larry, et al. Harrison's Principles of Internal Medicine, 20th Ed. New York: McGraw-Hill Education, 2018.