What is Dupuytren’s Contracture?
Dupuytren’s (du-pwe-TRAHNs) contracture is a condition characterized by an inward bending of the ring and little fingers toward the palm. Generally the condition, also known as Dupuytren’s disease, does not cause pain, but can cause trouble if left untreated.
What causes Dupuytren’s Contracture?
This disorder is caused by an overgrowth of scar tissue in the hand. Thickening of this cord can pull the fingers into a bent position. Those most at risk are men over age 50 of Northern European ancestry with a history of tobacco and alcohol use.
What are the symptoms of Dupuytren’s Disease?
This condition usually begins as small lump just under the skin in the palm area, usually at the base of the ring or little finger. The exact cause isn’t known, but the condition can be hereditary and aggravated by excessive smoking and drinking, and diabetes.
How is it diagnosed?
Our board-certified doctor will do a thorough examination, and rule out similar conditions like trigger finger.
What are the best treatments?
Treatments include needle aponeurotomy, using needles to puncture and weaken the tissue that is pulling he fingers downward; fasciotomy, or removing the cords, and collagenase enzyme injections. For severe cases, surgery can be used to remove affected tissue in the palm.
Is this condition permanent?
This condition is progressive and can cause complications if left untreated: the nodules may continue to develop and cause the fingers to become permanently stuck in a bent position
If you are experiencing pain or restricted movement in your hands or wrist, or have been told you need surgery, call Orthopedic Specialists or schedule a consultation online today. Our board-certified, fellowship-trained doctors are experts in the diagnosis and treatment of all hand conditions.