All are true of Dupuytren's contracture except -: (A) Usually 4th finger is involved, (B) Bilateral disease is rare, (C) Surgical release is useful, (D) May be associated with Pyronie disease
Answer is B. Often both hands are affected (Bilateral disease), one more than the other.
The earliest sign is a small thickened nodule in the mid-palm opposite the base of ring finger.
Gradually this extends distally to involve the ring or little finger.
There is a rare, curious association with fibrosis of the corpus Cavernosum.