title: Prevalence of palmar fibromatosis with and without contracture in asymptomatic patients.
abstract: BACKGROUND
  This retrospective study documents the proportion of hand clinic patients presenting with palmar fibromatosis with and without contracture.
  
  
  METHODS
  All "new" patients >18 years presenting to a single surgeon's hand clinic over a 16-month period were included, and information was abstracted from chart review regarding patient demographics, reason for presentation, presence or absence of palmar fibromatosis, contracture, and prior known diagnosis of Dupuytren's disease. The percentage of asymptomatic patients with palmar fibromatosis was calculated.
  
  
  RESULTS
  Of 827 patients, 306 had palmar fibromatosis. Among all patients, 33% of male and 40% of female patients had palmar fibromatosis. Only 8% had contractures, while 92% had palmar fibromatosis without contracture. Among those who had contractures, 81% presented with a primary complaint of Dupuytren's disease (symptomatic contracture). Prevalence of palmar fibromatosis increased with increasing age.
  
  
  CONCLUSIONS
  The findings demonstrate that Dupuytren's palmar fibromatosis is common and often present without overt contractures.
authors: University of Minnesota Medical School , Minneapolis, MN , USA.
authors: Gustave K
authors: GK
authors: Diep
authors: Julie
authors: J
authors: Agel
authors: Julie E
authors: JE
authors: Adams
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D058070:Asymptomatic Diseases / Q000453:epidemiology*; D004387:Dupuytren Contracture / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D055815:Young Adult
keywords: Dupuytren’s contracture; Dupuytren’s disease; Flexion contracture; morbus Dupuytren; palmar fibromatosis