Which fingers are most commonly involved in Dupuytren's Contracture?

• A. Little and ring fingers
• B. Index and thumb
• C. Ring and middle
• D. Index and little fingers

Answer: (A)

Dupuytren's Contracture primarily affects the little and ring fingers due to the anatomical structures and the pattern of the fibrous tissue that thickens in this condition. This condition involves a shortening and thickening of the palmar fascia, which affects the tendons and ligaments in the hand, leading to a flexion deformity primarily of the fourth (ring) and fifth (little) fingers.

The little and ring fingers are most frequently affected because they are positioned at the outer part of the hand, where the palmar fascia is typically more prone to develop contractures. This condition tends to progress slowly, leading to the inability to fully extend these fingers, thereby impacting hand function.

While it is possible for other fingers to be involved in Dupuytren's Contracture, the characteristic presentation usually highlights the involvement of the little and ring fingers, aligning with the clinical observations in most patients.