Hand Conditions

Dupuytren’s Contracture

Definition:

Dupuytren’s contracture, also known as Dupuytren’s disease, is a hand deformity that usually develops gradually. The condition causes the fascia, or layer of tissue beneath the skin, to become thicker and tighten, drawing the fingers into the palm.

Symptoms:

  • Initially, a feeling of a lump or nodule of tissue in the palm
  • Thick cords of tissue in the palm that can make it difficult to open the hand or place the hand in your pocket
  • Bent position of finger(s)

Pathology:

  • The cause of Dupuytren’s disease is not known
  • A family member with Dupuytren’s, smoking, and diabetes are risk factors

Treatment:

Non-surgical

  • Monitoring of the nodules (for many people, they do not progress or become painful)
  • Corticosteroid injection

Surgical