Snapshot A 60-year-old man presents to his physician for palmar contractures. He reports that his hand appears "deformed" and denies any pain. His past medical history is significant for alcoholic cirrhosis. Physical exam reveals thickened skin on his palms, contractures of his fourth and fifth fingers bilaterally, and several non-tender palmar nodules. He is counseled on this condition and he opts to try injected collagenase. Introduction Clinical definition login to view 1 more bullet Associated conditions login to view 1 more bullet Epidemiology Demographics login to view 3 more bullets Risk factors login to view 5 more bullets ETIOLOGY Pathogenesis login to view 1 more bullet Presentation Symptoms login to view 3 more bullets Physical exam login to view 7 more bullets Studies Making the diagnosis login to view 1 more bullet Differential Trigger finger login to view 3 more bullets Treatment Management approach login to view 2 more bullets Medical login to view 8 more bullets Operative login to view 4 more bullets Complications Limited function of the affected hand(s) Prognosis Typically progressive in severity 10% of cases will spontaneously resolve Recurrence after treatment is high