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THE TREATMENT OF DUPUYTREN'S CONTRACTION.

JAMA. 1903;XL(9):588-589. doi:10.1001/jama.1903.02490090036004.
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The treatment of few, if any, of what may be termed minor surgical affections has been attended with such difficulties as that of Dupuytren's contraction. The clinical picture of this obstinate condition is sufficiently well known to all engaged in surgical dispensary practice. Gradually and without pain the fingers of one of the hands is drawn downward toward the palm, the contracture progressing gradually until several fingers, possibly the entire hand, is almost entirely useless. The ring finger of the right hand is generally first affected, and as the disease advances the little finger and middle finger are also affected. The thumb and index finger are seldom involved. All the structures of the flexor surface of the hand, muscles, tendon and skin have been considered possible factors in the production of this condition, but Dupuytren, after long observation and careful study of the tissues, was the first to show definitely

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