Dupuytren’s Contracture

Dupuytren’s contracture or Dupuytren’s disease is a thickening of the layer under the skin called the ‘fascia’, often on the palm of the hand. This thickened area can become a hard lump or a thick band. Over time, it causes one or more fingers to curl (contract) or pull to the side or into the palm. Regular check-ups and follow-up are very important in the treatment of Dupuytren’s contracture.

What causes Dupuytren’s contracture?

Dupuytren’s contracture is thought to be inherited. In addition, the exact cause is unknown. Diabetics, alcoholics and men over 40 are in the risk group.

What are the symptoms of Dupuytren’s contracture?

The disease is usually recognized by painless, rubbery swellings in the palm of the hand at the level of the ring and pinky fingers. As time passes, the flexibility of the fingers is affected. Tendons, neighboring vessels and nerves can enter the swelling. Over time, it becomes difficult to open the finger and the fingers begin to retract into the palm. As a result, patients with Dupuytren’s contracture may experience serious loss of hand function.

How does the diagnosis and treatment process proceed?

Diagnosis During a physical examination, your doctor will test the flexibility and sensation in your thumb and fingers. He or she will also measure and record the location of any nodules and bands on your palm. Your doctor will also test the range of motion of the fingers. These measurements are important at follow-up examinations to see if the disease has worsened. Treatment of Dupuytren’s contracture Regular check-ups and follow-up are very important in the treatment of Dupuytren’s contracture. Treatment options depend on the following conditions of the patient. Age of the patient General health status Stage of the disease If the nodules do not cause tension and limitation of movement in the finger, surgery is not necessary. However, when the inability to open the fingers begins, appropriate surgical intervention should be performed as soon as possible.