What is Dupuytren's contracture?

Dupuytren's contracture is a condition characterized by a thickening and shortening of the connective tissue (fascia) beneath the skin of the palm. This leads to the formation of nodules and thickened cords that can pull one or more fingers toward the palm, resulting in a hand deformity. The condition typically affects the ring and little fingers, making it difficult for individuals to fully extend their fingers. Over time, this can significantly impair hand function and grip.

Understanding the pathology of Dupuytren's contracture emphasizes the role of the fascia in the hand rather than skin or joint conditions, which are represented in the other choices. This distinction makes it clear that the underlying issue in Dupuytren's contracture lies in the fascial tissue, rather than skin thickening on the back of the hand, tendon injuries, or arthritis, which are different medical issues with their own treatment and management strategies.