Open-palm technique and soft-tissue coverage in Dupuytren's disease

Dupuytren's disease remains a condition rich with history and tradition. New ideas in pathophysiology have stimulated research in basic science and the continuing search for the cause. The pathoanatomy, although well understood, challenges the surgeon with difficult dissection and the need to understand the blood supply to the palm. The author still recommends the open-palm technique, initially described by Dupuytren and later popularized by McCash, as the treatment of choice in Dupuytren's disease.