Dupuytren’s Disease: A Case Report

Abstract

Dupuytren’s disease is characterized by fibrosis of the superficial palmar aponeurosis, which can lead to flexural deformity of the fingers. Through our clinical case, we will detail the different aspects of this disease. It is a widespread adult condition, the main risk factors of which are family background, age and diabetes. Its familial distribution is autosomal dominant with variable penetrance. Despite a definite genetic determinism, the pathogenesis of the disease is only partially known. The prevalence of this disease varies between 20 and 63% in diabetes depending on the study, compared with only 13% in the general population. The main objectives of Dupuytren’s disease treatment are to reduce the flexion and the associated disability. It remains symptomatic and does not prevent recurrence. The means available are needle aponeurotomy, surgery, of which the reference procedure is aponeurectomy, and recently collagenase