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Accidental fasciotomy for Dupuytren’s

Fingers bent by Dupuytren’s can complicate a fall on an outstretched hand: because the fingers can’t stretch back, the force of impact is redistributed, making it more likely to break hand bones. When the fall is hard enough to break something, occasionally what gives is not bone, but the Dupuytren cord. This usually is accompanied by a tear in the skin. Although the final outcome is often surprisingly good, it’s not recommended as a primary treatment. This report describes a patient with an unusual traumatic partial rupture of a Dupuytren’s cord: