Cause of Symptoms: Dupuytren's Contracture is a thickening and shrinking of the layer of Fascia just beneath the underlying skin layer of the palm which in turn, pulls on the skin and on the fingers. Dupuytren's can cause lumps or dimples in the skin of the palm due to the tightening of the fascia, causing the fingers to bend downward into a flexed position at the MP, PIP and/or DIP joints. Note: Dupuytren's is often confused with Trigger Finger but involves a different process.  ( See Trigger Finger )