A clinical grading system for Dupuytren's contracture
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Updated: Oct 29, 2026

Human Dupuytren's Ex Vivo Culture for the Study of Myofibroblasts and Extracellular Matrix Interactions
Published on: April 18, 2015
1The Royal Orthopaedic Hospital NHS Trust, Northfield, Birmingham, UK.
Abstract:
A clinical classification for Dupuytren's contracture of the hand is described. The classification system has been used to sort patients with Dupuytren's contracture into five broad surgical categories and takes into account predisposing factors, risk of recurrence and sympathetic tone in the individual patient. The system has many advantages in determining the approximate operation time and surgical experience required to treat patients. One hundred and four patients graded by this system have been analysed. There was a broad agreement between expected and actual operating times, with no significant difference between them.
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