Dupuytrens Contracture

Dupuytrens contracture is a thickening and shortening of the fascia in the palm of the hand. The fascia is a firm tissue that lies just below the skin. This condition causes affected fingers to curl towards the palm and makes extension of these fingers difficult or impossible.

  • Causes

    The exact cause of Dupuytrens contracture is unknown. For some people, the condition is inherited.

  • Definition

    Dupuytrens contracture is a thickening and shortening of the fascia in the palm of the hand. The fascia is a firm tissue that lies just below the skin. This condition causes affected fingers to curl towards the palm and makes extension of these fingers difficult or impossible.

    Dupuytren's Contracture Scarring
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  • Diagnosis


    The doctor will ask about your symptoms and medical history. A hand examination will be done. In some cases a
    hand ultrasound, CT or
    MRI may be taken.

  • Prevention

    There are no guidelines to prevent Dupuytrens contracture. Its cause is unknown. However, treatment is made easier and more effective with early detection.

  • Risk Factors

    A risk factor is something that increases your chance of getting a disease or condition.

    • Age: 40 and over
    • Sex: male
    • A parent with Dupuytrens contracture
    • Hand trauma
    • Manual labor
    • Vibration exposure at work
    • Alcohol abuse
    • Epilepsy
    • Use of certain anticonvulsant medications for epilepsy
    • Liver disease
    • Smoking
    • Diabetes

  • Symptoms

    At first, symptoms of finger curling are mild, but they may become progressively worse. The rate of progression varies among people.

    The ring finger is usually affected first, followed by the little finger, then the index, and long finger. Fingers on either or both hands can be affected. The first physical sign of this condition is a nodule in the palm near the base of a finger. A nodule is a small thickening of the fascia under the skin. In some cases, nodules can be sensitive to touch. Generally, though, this condition is not painful.

    As a contracture progresses, the nodule becomes a thickened fibrous cord that extends into the finger under the skin. As the cord thickens and shortens, the affected finger is pulled (curled) in towards the palm. It becomes difficult or impossible to extend the finger.

  • Treatment

    No treatment is necessary when symptoms are mild and do not effect normal use of the hand. In other cases, treatment may include:


    If you are diagnosed with Dupuytrens contracture, follow your doctor's
    instructions
    .