Dupuytren’s contracture is a condition where one or more fingers of a person’s hand curl towards the palm, making it difficult to straighten them out. This is caused by thickening and scarring of the tissue in the hand.
There are several types of Dupuytren’s contracture depending on the stage of the condition and the severity of the contracture:
- Early stage: small lumps or nodules in the palm
- Intermediate stage: thickened cords of tissue that can be felt under the skin
- Advanced stage: fingers are contracted and can’t be fully straightened
The exact cause of Dupuytren’s contracture is not known, but it is more common in older men and people with certain medical conditions such as diabetes or alcoholism.
Symptoms of Dupuytren’s contracture include:
- Nodules or lumps in the palm
- Thickened cords of tissue in the palm
- Difficulty straightening one or more fingers
Diagnosis is usually made by a physical examination and a doctor may order X-rays or other tests to rule out other conditions.
Treatment options include:
- Observation if the contracture is mild
- Injections of medications to soften the cords and break down the thickened tissue
- Surgery to remove the thickened tissue.
Physical therapy is also an important part of the recovery process to help regain strength and flexibility of the fingers. It is important to consult a hand surgeon for an accurate diagnosis and a treatment plan that is tailored to your specific needs.
To discuss diagnosis and treatment options, please book an appointment with our specialist.
To learn more about dupuytren`s contracture, please click on https://www.nhs.uk/conditions/dupuytrens-contracture/
Dr Ibrahim Yahli MD MRCPsych