Dupuytren's Contracture

What is Dupuytren's Contracture?

Dupuytren's Contracture is a condition that affects the hands and fingers, causing the tissue under the skin of the palm to thicken and tighten.

This results in fingers becoming permanently bent towards the palm, making it difficult to straighten them. Over time, the condition can progress and affect multiple fingers, significantly impacting hand function.

Side Effects of Dupuytren's Contracture

The primary side effect of Dupuytren's Contracture is the progressive limitation of finger movement. This can lead to difficulty performing everyday tasks such as grasping objects, shaking hands, or even placing hands in pockets.

In severe cases, the contracture can cause pain or discomfort, affecting overall hand function and quality of life.

How is Dupuytren's Contracture Diagnosed?

Diagnosis of Dupuytren's Contracture typically involves a physical examination by a healthcare professional specializing in hand conditions.

The characteristic signs include thickened bands or nodules in the palm of the hand, along with the inability to fully extend one or more fingers. In some cases, additional imaging tests such as ultrasound may be used to assess the extent of the contracture.

Potential Treatment of Dupuytren's Contracture

Treatment options for Dupuytren's Contracture depend on the severity of the condition and its impact on hand function. In mild cases where symptoms are minimal, regular monitoring may be recommended.

However, if the contracture progresses and interferes with daily activities, several treatment approaches may be considered:

Non-Surgical Options:

•    Steroid Injections: These can help reduce inflammation and alleviate symptoms temporarily.
•    Collagenase Injections: An enzyme injection that breaks down the collagen causing the contracture, allowing for easier straightening of the affected finger.
•    Physical Therapy: Exercises and stretches can help maintain hand flexibility and function.

Surgical Options:

•    Fasciotomy: A minimally invasive procedure where the thickened bands of tissue are divided to release the contracture.
•    Fasciectomy: Surgical removal of the affected tissue to release the contracture and improve finger movement.
•    Fasciotomy with grafting: In severe cases, tissue grafts may be used to replace the excised tissue and promote better healing.

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