Dupuytren’s fibrosis is a genetic condition with variable penetrance, meaning it can ‘skip’ generations. It causes an over-production or under-resorption of the normal retinacular system in the hand and fingers, which gradually ‘pulls’ the finger into the palm. There are multiple treatment options for Dupuytren’s fibrosis depending on the severity of the contracture; percutaneous needle aponeurotomy, collagenase injection, limited fasciectomy, fasciectomy with Z-plasty and dermatofasciectomy and full thickness graft.