<prompt> A 40 yr old diabetic man comes with a complaint of inability to bend his ring finger and development small nodules on the palm.What will be not be a pa of your management in this patient?Wait and watchWhen more than 15 degree flexion deformity involved at PIP :Subtotal fasciectomyWhen more than 30 degree flexion deformity involved at MCP :Subtotal fasciectomyCollagenase injection  <response>: This is a condition of Dupuytrens contracture Flexion deformity- because of abnormal fibrosis of palmar aponeurosis leading to cord or nodule formation. MC cause is Idiopathic MCPPIPDIP involved most commonly Ring finger more common than little finger involved Treatment: Conservative by stretching and inj. collagenase When more than 30 degree involved at MCP and more than 15-20 degree at PIP subtotal fasciectomy is done 