Abbreviationa.- Introduction.- Dupuytren's disease - a historical overview.- Epidemiology.- Theories concerning etiology and pathogenesis.- Ground substance and cells of the extracellular matrix.- Subjective complaints.- Symptoms of Dupuytren's contracture.- Course of Dupuytren's contracture.- Anatomy of the palmar fascia (G. M. Rayan).- Classification.- Conservative therapy.- Surgicla goals.- Surgical indications.- Selection of surgical techniques.- Contraindications.- Informed consent.- Preoperative work up.- Instruments.- Anaesthesia and positioning.- Operative technique.- Additional measures to improve manual function.- Postoperative treatment.- Errors, hazards, and complications.- Results.- Conclusions.- References.- Subject index