Season 6 Case 32

msk Apr 23, 2018

Case 32

History: mass



Case 32 Answer

Answer: Dupuytren’s contracture (aka palmar fibromatosis)

This is a tough one because you don’t actually see the disease process. You see the sequela, ie the persistently flexed 4th digit on all images. If I gave the history of trauma, sure it could be an extensor tendon injury, but without trauma, think palmar fibromatosis - ie the palpable nodules on the palmar aspect of the hand. As the fascia fibrosis down, it can lead to progressive flexion of the digits (classically the 4th digit!)

reference (short and sweet):

ref (grab a cup of coffee):



Professor of the Darkroom Arts

Great! You've successfully subscribed.
Great! Next, complete checkout for full access.
Welcome back! You've successfully signed in.
Success! Your account is fully activated, you now have access to all content.