DUPUYTREN'S CONTRACTURE AS A SEQUEL TO CORONARY ARTERY DISEASE AND MYOCARDIAL INFARCTION

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Abstract
Six cases of Dupuytren''s contracture as a sequel of coronary occlusion are presented, in none of which palmar changes were noted prior to the myocardial infarction. The process in the hands was associated frequently with painful disability of the shoulders and hands such as occurs following coronary occlusion. In this series, no regression of the palmar changes was noted and in 3 cases the condition progressed to definite cantracture. Heredity or trauma did not appear to be of etiological significance. Irritation and hyperexcitability of the sympathetic ganglia may play an important role in the etiology.

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