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Dupuytren's
Dupuytren contracture is a condition that produces lumps or nodules in the connective tissue of the palm of the hands. This connective tissue becomes thickened causing it to tighten and pull one or more fingers into the bent position. The ring and small fingers are the most commonly involved. Once bent, fingers cannot be straightened completely, and this can lead to limitations on daily activities such as holding or picking things up.
The cause of Dupuytren contracture is unknown, however there may be a genetic component, and it does tend to run in families. Our specialists are expertly trained to treat the delicate network of tendons, ligaments, muscles, blood vessels, and nerve endings in the hand and wrist. If you are feeling any of the below symptoms contact us to schedule an evaluation.
Symptoms
The cause of Dupuytren contracture is unknown, however there may be a genetic component, and it does tend to run in families. Sometimes it can be precipitated by trauma or an injury.
Causes
The cause of Dupuytren contracture is unknown, however there may be a genetic component, and it does tend to run in families. Sometimes it can be precipitated by trauma or an injury.
Risk Factors
- Diabetes
- Smoking
Diagnosis
- Physical examination of the hand
- X-ray to show bone health
Treatment Options
- Activity modification to avoid tight grips on tools or other objects and using gloves with padding when heavy grasping is necessary
- Nonsteroidal anti-inflammatory medications for pain relief
- Corticosteroid injection for pain relief
- Physical therapy
- Specialized enzyme injections and in-office manipulation
- Surgery may be recommended in severe cases where limited functionality is present. This typically involves breaking and/or removing the connective tissue in the palm to allow the fingers to return to a straightened and flexible position.