James C. Cassandra, DO
Orthopedic Hand & Elbow Surgeon
If you have been experiencing the symptoms of Dupuytren’s contracture, schedule an appointment with one of our board-certified orthopedic and sports medicine specialists at one of our many convenient locations throughout Greater Columbus.
This article will provide you with information about all you need to know about Dupuytren’s contracture. If you have more questions, feel free to contact us today!
What Is Dupuytren’s Contracture?
Dupuytren’s disease is characterized by the thickening of tissue in the hand.
There is a fibrous tissue called fascia that covers the palm of your hands. The fascia covers essential blood vessels, nerves, muscles, and tendons. This skin can thicken and tighten, forming hard, visible knots in the palm of the hand. These are known as Dupuytren’s contractures.
Dupuytren's Contracture Causes
There is no known cause for Dupuytren’s contracture. However, there are some risk factors that may increase the chances of the condition developing. The following lists some of the risk factors associated with Dupuytren’s contracture.
- Age—Dupuytren contracture most often occurs in those over 50.
- Sex—The condition is more common among men than women. The symptoms are often worse and progress quicker in men.
- Ancestry—Those of Northern European descent are at higher risk of the disease.
- Family history—The condition often runs in families.
- Occupation—Workers who use vibrating tools are more likely to develop the condition.
- Diabetes—Diabetics are at an increased risk of Dupuytren contracture.
- Tobacco and alcohol use—Smoking tobacco and drinking alcohol both raise your risk of Dupuytren contracture.
What Are the Signs of Dupuytren's Contracture?
Dupuytren’s disease progresses slowly over time. It begins with a hard lump in the palm of your hand. This lump is not usually painful but may feel tender to the touch.
Gradually, this lump can extend into thick cords that reach up into the fingers. This connective tissue can cause one or more fingers to curl inwards or sideways toward your palm. Dupuytren’s contracture most commonly affects the ring finger and the pinky finger and can often affect both hands.
How Is Dupuytren's Contracture Diagnosed?
The physicians at OrthoNeuro can diagnose Dupuytren’s disease by means of a physical examination. Other diagnostic tests are not usually necessary.
The exam begins by checking the skin on the palm of your hands for puckering. Our doctors will press down on your hands and fingers to look for bands of tissue or hard knots.
They may also ask you to place your hand flat on a table or another flat surface. They will check to see if your fingers are able to fully flatten. If not, then treatment may be necessary.
Treatment for Dupuytren's Contracture
There are non-surgical and surgical treatments available for Dupuytren’s contracture. Both types of treatments are described below.
Non-Surgical Treatments
In most cases, Dupuytren’s contracture can be managed using non-surgical treatment options. At OrthoNeuro, these options may include:
- Activity modification
- Anti-inflammatory medications
- Corticosteroid injections
- Enzyme injection
- Physical therapy
In the instances where Dupuytren’s contracture has not responded to conservative treatments, our specialists may recommend a surgical procedure to help alleviate pain.
Surgical Treatments
The following surgical procedures can be used to treat Dupuytren’s contracture:
- Fasciotomy – A surgical procedure in which the hand surgeon divides thickened tissue cords. This will allow you to move your affected finger more freely.
- Subtotal palmar fasciectomy – A procedure used to remove tissue and straighten the fingers. A skin graft will be placed over the removed part.
Make an Appointment with an OrthoNeuro Specialist Today!
If you have been experiencing the symptoms of Dupuytren’s contracture, schedule an appointment with one of our board-certified orthopedic and sports medicine specialists. We have multiple locations throughout Columbus, OH to provide you with the care you need. Contact us today!
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Hand, Wrist, and Elbow Specialists
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Gary M. Millard, DO
Orthopedic Hand & Elbow Surgeon
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Orthopedic Shoulder & Elbow Surgeon
Desmond J. Stutzman, DO
Orthopedic Hand & Elbow Surgeon
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