- Gender - up to 10 times more men than women are affected.
- Heredity - the condition tends to run in families.
- Ancestry - those with Celtic or Scandinavian ancestry are at increased risk.
- Certain medical conditions - people with diabetes and epilepsy have a higher incidence of the condition.
- Alcoholism - the contracture tends to be common, and comparatively more severe, in alcoholics.
- There is the appearance of a thickened cord running along the palm to the fingers.
- Over time, as the contracture develops, the fingers become clawed as they are pulled towards the palm.
- The hand bows.
- The fingers are completely pulled against the palm.
- Often, the skin of the palm is dimpled and puckered.
- There is rarely any associated pain.
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