Dupuytren’s Contracture/Disease
Dupuytren’s Disease develops when the fibrous tissue layer underneath the palm and fingers begins to thicken. Often, a patient will first notice small nodules or bumps in the palm. These nodule can begin to coalesce, expand and/ or patient can develop longitudinal thickened tissue which can lead to contracture of the fingers. Significant pain is uncommon but occasionally the nodules can be mildly painful with pressure and gripping.
Causes and risk factors
Common in people of Northern European or Scandinavian ancestry
Genetic
Alcohol and tobacco use
May be associated with certain medical conditions such as diabetes and seizures
Increases with age, most common over the age of 50
Approximately twice as common in men vs women
Symptoms
Initially, small lumps form in the palm which may cause pain with use/pressure. Usually with time, the pain subsides
Nodules may thicken and contract creating tough bands of tissue under the skin inside the fingers and in the palm
Most commonly the ring and little finger are affected, curling in towards the palm but any digit can be affected
Some patients develop progressive contracture that begins to impact function, though is often painless
Diagnosis and treatment
The diagnosis is generally made based on history and examination. Depending on the symptoms and progression treatment ranges from simple observation to more aggressive treatment. They are both surgical and nonsurgical treatments with relative advantages and disadvantages to each treatment. Dr. Holt will discuss treatment options with you and help you make the best decision based on your symptoms, function and overall goals.
Dupuytren’s Contracture Release Surgical Information/Post Operative Instructions
Additional Information/Links:
