One man's experience with over 6,000 cases of Dupuytren's contracture has been documented in a scholarly manner by J. T. Hueston in a succinct new monograph. Detailed research on Dupuytren and the disease which carries his name is delightfully presented, bolstered by important new statistics on the incidence and natural history of the disease, the most comprehensive since Skoogs' monumental treatise on the same subject. A most valuable contribution is Hueston's logical and badly needed critique of antiquated theories of etiology and his presentation of scientific facts which support or destroy old theories concerning the etiology and evolution of palmar fascia contraction. The most commonly held theory of repeated trauma as the cause of the disease is effectively attacked, and several original observations on the pathological anatomy are presented together with the questions which they raise. In the reviewer's opinion, however, the most valuable contributions are the author's analysis of
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Erle E. Peacock (1964) studied this question.