Exam. An examination of the hand to check for nodules, cords and finger contracture.
Exam. Dupuytren's can be diagnosed by a physical examination. Thick cords and nodules are identified in the palm and may extend into the finger. An exam with a hand surgeon is beneficial.
Clinically. There is no lab test or study to diagnose dupuytren's contracture. The diagnosis is made with clinical history and physical exam. Dupuytren's contracture is a genetically mediated fibroproliferative disorder with a strong family history. The disease causes increased collagen deposition, which leads to cord formation and contracture of the digits.
Clinical. This is a clinical diagnosis being it's a combination of exam history and ruling out other causes also by exam and history. Sometimes very early on in appearance small a small bump or nodule hints at but may not lead to it, this is probably the toughest time to tell someone they may have dupuytrens especially when there are severe cases out there that we all look at on the internet and in friends and family however having a small nodule is not a reason to get treatment and excising a small nodule does not give any benefit in fact it actually made it worse.
Physical exam. Dupuytren's can be diagnosed by physical exam. It is very characteristic and any hand surgeon, and most primary care doctors can make the diagnosis. It can be confirmed by pathology after excision of the tissue.
Clinically. A layer of thickened tissue called fascia below the skin in the palm has distinct characteristics. It forms nodules and cords in the palm that can start to draw up or contract the fingers. So this is a clinical diagnosis. Blood testing and x-rays are not needed as such.