Dupuytren's contracture

Nodular fibrosing lesions with bands radiating distally are features of Dupuytren's contracture. The ulnar side of the hand is affected, with the fourth and fifth fingers usually involved first.

Reproduced with permission from: Sheon, RP, Moskowitz, RW, Goldberg, VM. Soft Tissue Rheumatic Pain: Recognition, Management, Prevention, 3rd ed, Williams & Wilkins, Baltimore 1996. Copyright © 1996 Lippincott Williams & Wilkins.