Duputren vs Palmar Fibrosis

[Diane]

Hi Steve, do you think there is a difference between Duputren and Palmar Fibrosis?

I was researching online and there was conflicting information when some people said Palmar Fibrosis is associated with pain whereas Duputren wasn’t.

I scanned this guy recently who had a hard module on the surface of his palm between the 4/5th Metacarpal head but he had no flexion deformity and the tendons were fine.

Thanks!

[Stephen Bird]

Hi Diane,

I am glad you can’t spell Dupuytrens either.

Every time I make this diagnosis I have to google the spelling !!!!

In my mind I think of these as the same entity.

Dupuytrens is indeed palmar fibromatosis so I think of dupuytrens as being palmar fibrosis.

It is different to post op granulation tissue but this would always be in the context of prior surgery or penetrating injury.

It is quite possible that I am being over simplistic about this and I would really value the opinion of Greg Lammers as he is particularly clever when it comes to hands and fingers.

I would have called your case Dupuytrens and the fact there is no flexion deformity is perfectly OK as this does not develop until the later stage of the disease.

Steve.

[Author]

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