<prompt> A-65 years alcoholic suffering from diabetes has a flexion deformity at the right little finger over the metacarpophalangeal joint of around 15 degrees. The ideal management for him would be -ObservationPercutaneous fasciotomySubtotal fasciectomyTotal fasciectomy  <response>: The information in this question are:-Patient is alcoholic and diabetic both are risk factors for Dupuytrens contracture.Flexion deformity at MCP joint of little finger.Patient is old 65 years.The Diagnosis is Dupuytrens contracture.The only effective treatment is by operation; however, operation is not necessary in every case; a contracture that is not progressing rapidly is often better left alone, especially in an elderly patient.Primary indication for surgery is fixed contracture of 30 at metacarpophalangeal joint or 15 at proximal interphalangeal joint. 