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MSRACLIN6-049

A 50 year old male presents with problems using his right hand. He initially noticed some changes to the skin of his palm but gradually his 4th and 5th fingers have been bending and he can no longer straighten them. This is now significantly affecting his work as a carpenter and preventing him from competing in climbing competitions. A photograph of his hand is given below.

Dupuytrens contracture MSRA6 1 - MRCGP AKT, RCA, MSRA and PLAB Exam Courses and Revision - Arora Medical Education

Based on his likely condition, what is the best next step in management?

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