What is Dupuytren’s Contracture?
Dupuytren's Contracture is a progressive medical condition that affects the hands and fingers, often leading to deformities that limit normal hand movement. This disorder primarily targets the connective tissue beneath the skin of the palm, forming thickened cords that pull one or more fingers into a bent position. Over time, these fingers may become permanently curled, making daily activities like gripping, writing, or shaking hands challenging
Causes of Dupuytren's Contracture
The exact cause of Dupuytren's Contracture remains unclear, but research indicates that genetic predisposition plays a significant role. It tends to run in families, especially those of Northern European descent. Other potential risk factors include
- Age: Most commonly affects individuals over 50 years old.
- Gender: Men are more likely to develop this condition than women.
- Lifestyle Choices: Smoking and excessive alcohol consumption may increase the risk.
- Health Conditions: It is sometimes linked to diabetes and epilepsy.
Symptoms of Dupuytren’s Contracture
The initial symptoms are often subtle and painless. A person may notice small, firm nodules or lumps in the palm. Over time, these nodules develop into thickened bands or cords, causing the fingers to curl toward the palm. The condition usually affects the ring finger and little finger but can involve other fingers as well
Diagnosis of Dupuytren's Contracture
Diagnosing this condition typically involves a physical examination by a hand specialist. The doctor may conduct a "tabletop test," where the patient attempts to lay their hand flat on a surface. If the hand cannot lie completely flat due to curled fingers, it is a strong indicator of Dupuytren's Contracture
Treatment Options
Treatment depends on the severity of the condition and the degree to which it impacts daily life. Some of the most common treatment options include
Non-Surgical Approaches:
- Needle Aponeurotomy: A minimally invasive procedure that uses a needle to break apart the cords.
- Enzyme Injections: Collagenase clostridium histolyticum injections help dissolve the thickened cords.
Surgical Treatment:
- Fasciotomy: Cutting the cords to release the tension in the fingers.
- Subtotal Palmar Fasciectomy: Removal of the affected connective tissue to improve mobility.
Physical Therapy: After surgery or minimally invasive treatments, hand therapy helps restore strength and flexibility.
Living with Dupuytren's Contracture
Although Dupuytren’s Contracture is not life-threatening, it can significantly impact quality of life. Early intervention and regular hand exercises can slow its progression. Consulting a hand specialist is crucial for proper management and to explore the best treatment options
If you or someone you know is experiencing symptoms of Dupuytren's Contracture, seek medical advice promptly to maintain hand function and improve overall hand health