Dupuytren Contracture: Symptoms, Causes, and Treatment

Dupuytren Contracture is a condition where the tissue under the skin of the palm thickens and tightens over time, causing one or more fingers to bend into the palm. It can make simple tasks like gripping objects challenging. This condition typically progresses slowly and is more common in older individuals, especially men. While not usually painful, it can significantly impact hand function. Treatment options range from observation to surgery, depending on the severity of the contracture. If you notice any symptoms, consulting a healthcare provider is essential for proper management.

Causes of Dupuytren Contracture

When it comes to Dupuytren contracture, several factors play a role in its development. These include:

• Genetics: Family history can increase the risk.
• Age: More common in older individuals.
• Gender: Men are more prone to develop it.
• Ancestry: People of Northern European descent are at higher risk.
• Smoking and alcohol use: These habits can contribute to its progression.

Symptoms of Dupuytren Contracture

Recognizing the symptoms of Dupuytren Contracture early is crucial for better treatment outcomes. This condition causes the fingers to bend towards the palm and can hinder hand function if left untreated. By understanding the symptoms, individuals can seek timely medical intervention.

Symptoms of Dupuytren Contracture include:

• Painless lumps or nodules in the palm of the hand
• Thickened cords under the skin of the palm
• Finger stiffness and difficulty straightening the fingers
• Development of pits or grooves in the skin of the palm

Diagnosis of Dupuytren Contracture

Diagnosing Dupuytren Contracture accurately is crucial for timely treatment and management. The diagnostic process typically involves a thorough examination of the hand and fingers to assess the extent of the contracture and its impact on hand function. Some diagnostic methods used include:

• Physical examination to check for thickened cords or nodules in the palm
• Assessment of hand mobility and range of motion
• Patient history to understand symptoms and progression
• Imaging tests like ultrasound or MRI for detailed visualization

Treatment Options for Dupuytren Contracture

Dupuytren Contracture treatment approaches vary based on the severity of the condition, with individualized care being paramount.

Splinting

• Splinting involves wearing a splint to straighten the affected finger.
• It aims to stretch the contracted tissue gradually.
• The primary objective is to improve finger extension.
• Typically, the patient wears the splint for several weeks.

Steroid Injections

• This treatment entails injecting steroids into the affected tissue.
• The rationale is to reduce inflammation and soften the tissue.
• The primary objective is to alleviate symptoms and slow disease progression.
• Multiple injections may be needed over time.

Needle Aponeurotomy

• A minimally invasive procedure where a needle is used to divide the contracted tissue.
• It aims to release the tension in the affected area.
• The primary objective is to improve finger mobility.
• Several sessions may be required for optimal results.

Surgery

• Surgical intervention involves removing the thickened tissue causing the contracture.
• It is usually recommended for severe cases or when other treatments have failed.
• The primary objective is to restore full hand function.
• Post-operative rehabilitation is crucial for recovery.

Prevention and Management of Dupuytren Contracture

Dupuytren contracture is a condition that affects the hand's connective tissue, causing fingers to bend towards the palm. While its exact cause is unknown, lifestyle changes and proactive measures can help prevent or manage the condition effectively.

Lifestyle Modifications:

• Avoiding activities that strain the hand and fingers can help reduce the risk of developing Dupuytren contracture.
• Maintaining a healthy weight and incorporating hand exercises into your routine can also be beneficial.

Regular Screenings:

• Regularly seeing a healthcare provider for check-ups can help detect Dupuytren contracture in its early stages.
• Early detection allows for timely intervention and management of the condition.

Supportive Care:

• Physical therapy and splinting can help manage symptoms and improve hand function.
• In some cases, minimally invasive procedures or surgery may be necessary to correct severe contractures.

If you’ve been having any symptoms or worries about Dupuytren Contracture, please reach out to our doctors. They will listen to your concerns, answer your questions and guide you through the next steps.