Nodular Lesion on the palm

69y brick-layer with history of DM, HTN, DJD and tobacco-induced COPD presents with painful hands, thickening in the palm and limitation of 4th and 5th finger movements.
Exam shows nodular lesion on the volar surface of the hand at the metacarpophalangeal joints of primarily the fourth and partially fifth finger.

What is the diagnosis?

1. Volkmann’s contractures
2. Trauma
3. Intrinsic joint disease
4. Dupuytren’s contracture- CORRECT ANSWER
5. Diabetic Cheiroarthropathy