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Dupuytren’s contracture : Mnemonics

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Associations of Dupuytren’s Contracture

Mnemonic: DEAFEST LIAR

  1. Diabetes mellitus
  2. Epilepsy
  3. Age (positive correlation)
  4. Family history (autosomal dominant)/Fibromatoses
  5. Epileptic medications (phenobarbitone)
  6. Smoking
  7. Trauma and heavy manual labour
  8. Liver disease (Alcoholic)
  9. Idiopathic (most common)
  10. AIDS
  11. Reidel’s thyroidits
“This image is taken from On contractions of the fingers (Dupuytren’s and congenital contractions) and on ‘hammer-toe'” by Medical Heritage Library, Inc. is licensed under CC BY-NC-SA 2.0.

Dupuytren’s diathesis

Mnemonic: ABCDEF

Severity and recurrence risk is increased in:

  1. Age at onset <50 years
  2. Bilateral palmar lesions
  3. Country (North European)
  4. Dude (Male)
  5. Ectopic lesions (Garrod’s pad, Peyronie’s disease, Ledderhose’s disease)
    • Ledderhose disease (plantar fascia): 10-30% association
    • Peyronie’s disease (dartos fascia of penis): 2-8% association
    • Garrod disease (knuckle pads): 40-50% association
  6. Family history

If all 6 diathesis risk factors are present: risk of recurrence is 71%

If none of diathesis risk factors are present: risk of recurrence is 23%

Involvement of fingers

Mnemonic: RaSMIT

In order of decreasing frequency:
  1. Ring
  2. Small
  3. Middle
  4. Index
  5. Thumb

30-20-10 rule for Surgery in Dupuytren’s contracture

Surgery should be considered when:

  1. MCP joint contracture >30 degrees
  2. PIP joint contracture >20 degrees

Recurrence following surgery is <10% at 10 years

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