overview

Dupuytren’s (du-pwe-TRANZ) contracture may be a condition that gently causes animal tissue (fascia) under the skin of your palm to thicken and become scar-like. Although Dupuytren’s isn’t always painful, it does restrict movement. The thickened tissue forces several fingers — usually your ring and pinky fingers — to twist in toward your palm. The bending caused by the thick tissue is named contracture.

Life With Dupuytren’s:

As Dupuytren’s permanently bends fingers into a tough and fast position, it can become difficult to know large objects and make simple movements like washing your face or putting on gloves. The condition usually doesn’t affect your ability to write down down and grasp small objects, though, because the thumb and index aren’t usually affected.

What Causes Dupuytren’s Contracture?

Although reports of Dupuytren’s contracture first appeared in medical literature within the 1600s, doctors still don’t know what causes the connective tissue to make . The condition tends to run in families, so genes could also be involved. Dupuytren’s is more common in time of life , especially in men of Northern European descent. Alcohol and tobacco use, diabetes, and epilepsy also increase the danger .

Early Signs of Dupuytren’s Contracture:

First, the skin on the palm of the hand starts to thicken. The skin might appear puckered as knots (nodules) of hard tissue begin to form on your palm. These nodules might feel tender to the touch, but they’re usually not painful. The thickening of the skin usually happens very slowly. you are doing not need treatment unless your symptoms bother you.

Symptoms of Dupuytren’s Contracture

The nodules of tissue on the palm gradually stretch into thin bands of collagen. These collagen bands progressively extend up, usually into the ring and pinky fingers. because the bands tighten, they pull the fingers in toward the palm and make it difficult to straighten out your fingers. Although fingers on both hands are often affected, one hand is typically worse than the opposite .

Diagnosing Dupuytren’s

Your doctor usually can determine if you’ve got Dupuytren’s by feeling for thickened connective tissue and seeing whether your fingers pull inward. you’ll even have a “table top” test, during which you set your hand, palm down, on a table to ascertain if it lies flat. If it doesn’t, you’ll have a contracture which will require surgery. Your doctor can also test your grip and therefore the range of motion in your fingers.

Nonsurgical Treatments:

Corticosteroid injections can help pain and inflammation and should slow the disease. Doctors also can inject enzymes into the palm to weaken the collagen bands. Then your hand is moved by your doctor until the bands are broken and your fingers are often straightened. Other treatments may include needle aponeurotomy, where the contracted bands are divided with small hypodermic needles. radiotherapy is additionally being studied as a treatment and has been successful in several small studies.

Surgery for Dupuytren’s Contracture:

If contracture symptoms are bad enough to interfere with lifestyle , surgery may help. During the procedure, your surgeon removes the thickened tissue in your palm, which allows the fingers to maneuver again. Surgery usually can offer you normal movement back, but risks may include infection and nerve damage.

After Dupuytren’s Surgery:

Once your wound has healed, you’ll likely got to have physiotherapy for a couple of months. A physiotherapist will teach you exercises to assist you regain strength and movement in your fingers. Even with a successful surgery, Dupuytren’s contracture can return. If it does, you’ll got to have another procedure.