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Dupuytren's disease N068

Document
Last amended 
27 February 2018
Current RMA Instruments
Reasonable Hypothesis SOP57 of 2010
Balance of Probabilities SOP
58 of 2010
Changes from previous Instruments

SOP Bulletin 144

ICD Coding
  • ICD-9-CM Codes: 728.6
  • ICD-10-AM Codes: M72.0
Brief description

Dupuytren’s disease is a slowly progressive disorder of the palms of the hands in which fibrous tissue proliferates in the palma fascia. This proliferation forms thickening and then nodules and then cords which then contract the affected fingers. The disease can affect both hands and mainly affects the small and ring fingers.

Confirming the diagnosis

The diagnosis is made on clinical grounds.

The appropriate medical speciailist is an orthopaedic surgeon or rheumatologist.

Additional diagnoses covered by SOP
  • Dupuytren’s contracture
Conditions not covered by SOP
  • Plantar fascial fibromatosis#

# non-SOP condition

Clinical onset

The condition mostly affects white males over 50 years old.  Patients typically first notice a thickening or a nodule in the palm that can initially be painful or painless.

Clinical worsening

The condition typically progresses slowly over a period of years.  Treatment may alleviate symptoms but is generally ineffective in stopping disease progression.  Worsening beyond the normal course would need to occur before clinical worsening factors could be considered.