Dupuytren’s contracture involves “an abnormal thickening of the fascia” beneath the skin at the palm’s base. This thickened tissue forms bands or lumps, causing fingers to curl inward or pull sideways, typically affecting the ring and little fingers.
Causes of Dupuytren’s Contracture
The condition is believed to be genetic, though its exact cause remains unclear. Risk factors include diabetes, alcoholism, smoking, certain medications, and nutritional deficiencies. It occurs more frequently in older individuals, men, people of Scandinavian or Northern European descent, and those taking seizure medication.
Symptoms of Dupuytren’s Contracture
Common signs include:
- Inability to lay the hand flat, palm down
- Fingers pulled forward
- Thickened nodules and tissue bands under the skin
- Tender lumps on the palm
- Grooves or pits in skin from contracted fingers
- Reduced hand function
Diagnosing Dupuytren’s Contracture
Specialists examine the hand and assess feeling, flexibility, pinch strength, and grip. They measure and document bands and nodules, track finger contraction using specialized tools, and monitor range of motion over time.
Treating Dupuytren’s Contracture
While incurable and not dangerous, treatment can ease symptoms or slow progression. Options include surgery, radiation therapy, steroid injections, enzyme injections, and needle aponeurotomy. Treatment plans consider age, health, severity, and individual tolerance for various therapies.
