Concurrent MRI findings of Dupuytren’s disease and A1 pulley stenosing tenosynovitis: A case report

Dupuytren's disease and trigger finger are common fibroproliferative disorders that may coexist clinically. Although their clinical association has been previously described, reports emphasizing simultaneous MRI findings of both entities are limited. We describe a 51-year-old woman with progressive hand stiffness and digital triggering. MRI demonstrated low-signal palmar cord-like thickening with marked enhancement, consistent with early Dupuytren’s disease, along with thickening and enhancement of the A1 pulley and associated flexor tendon sheath changes compatible with stenosing tenosynovitis. This case highlights the utility of MRI in evaluating multifactorial hand symptoms and demonstrates simultaneous imaging features of two distinct but potentially related fibroproliferative processes.