Dupuytren’s Contracture is a progressive hand condition that affects the connective tissue beneath the skin of the palm and fingers. In this article, Dr. David Morwood, a plastic and reconstructive microsurgery specialist in Monterey, Ca., will discuss what Dupuytren’s contracture is, explore its common causes and symptoms, explain how it is diagnosed, and review available treatment options.
What Is Dupuytren’s Contracture?
Dupuytren’s Contracture is a disorder that primarily affects the fascia—a layer of tissue under the skin in the palm and fingers. This condition causes the fascia to thicken and contract over time, leading to the formation of nodules and cords that pull the fingers toward the palm. As the condition progresses, it becomes increasingly difficult to straighten the affected fingers, making it challenging to perform everyday tasks like grasping objects, shaking hands, or putting on gloves.
Causes of Dupuytren’s Contracture
The exact cause of Dupuytren’s Contracture remains unclear, but several factors have been identified that may increase the risk of developing the condition:
- Genetics: Dupuytren’s often runs in families, particularly those of Northern European descent, suggesting a hereditary component.
- Age: The condition is more common in people over the age of fifty.
- Gender: Men are more likely to develop Dupuytren’s Contracture than women.
- Lifestyle Factors: Smoking and excessive alcohol consumption have been linked to a higher risk of developing the condition.
- Medical Conditions: Certain health conditions, like diabetes and epilepsy, have been associated with a greater likelihood of developing Dupuytren’s.
Symptoms of Dupuytren’s Contracture
The symptoms of Dupuytren’s Contracture often begin subtly and progress slowly over time. Some key symptoms to watch for include:
- Nodules: Small, firm lumps may develop in the palm, often near the base of the fingers. These nodules are usually painless but can be tender at first.
- Thickened Cords: As the condition advances, these nodules can develop into tough cords of tissue that extend into the fingers, gradually pulling them towards the palm.
- Finger Flexion: In advanced stages, one or more fingers (often the ring and pinky fingers) may become permanently bent, making it difficult to straighten them fully.
- Loss of Hand Function: As the contracture progresses, simple tasks like gripping objects or placing the hand flat on a surface become increasingly difficult.
If you notice any of these symptoms, early intervention can help manage the condition more effectively. Visit our Dupuytren’s page to learn more about available treatments.
How Is Dupuytren’s Contracture Diagnosed?
If you suspect that you or a loved one may have Dupuytren’s Contracture, early diagnosis is crucial to prevent the condition from worsening. Dr. David T. Morwood, M.D., a leading expert in Monterey, can provide a thorough evaluation and recommend appropriate Dupuytren’s contracture treatment in Monterey.
Treatment Options for Dupuytren’s Contracture
The appropriate treatment depends on the severity of the condition and the extent of the contracture. Here are some common treatment approaches:
Non-Surgical Treatments
- Needle Aponeurotomy: Also known as percutaneous needle fasciotomy, this procedure involves using a needle to break the thickened cords in the palm, allowing the fingers to straighten. It’s minimally invasive and involves less recovery time than surgical procedures.
- Collagenase Injections (Xiaflex): An enzyme injection that helps dissolve the collagen in the cords, making it easier to straighten the fingers. This treatment is often used in less severe cases and is typically followed by finger-stretching exercises.
Surgical Options
- Fasciectomy: In cases where the contracture is more advanced, surgery may be necessary to remove the thickened tissue. This procedure can be performed using different techniques, including partial or complete fasciectomy, depending on the extent of the contracture.
- Dermofasciectomy: For severe or recurrent cases, a dermofasciectomy may be performed, which involves removing the diseased tissue and covering the area with a skin graft.
Post-Treatment Care
After treatment, physical therapy is often recommended to improve hand function, prevent the recurrence of contractures, and strengthen the hand. Your doctor may also suggest using a splint at night to maintain finger extension.
Contact Us for Consultation for Dupuytren’s Contracture
Contact us if you are experiencing symptoms of Dupuytren’s contracture or have concerns about your hand health, don’t wait for the condition to worsen. Early diagnosis and treatment can help manage the condition more effectively and improve your hand function.
At Dr. David T. Morwood, M.D, our specialized team is dedicated to offering personalized care and the latest treatment options to help you regain the use of your hands. Learn more about our services and expertise by visiting our About Dr. Morwood page.
Dupuytren’s contracture can be a challenging condition, but understanding its causes, symptoms, diagnosis, and treatment options is the first step toward managing it. If you’re in Monterey and need expert care, Contact Dr. Morwood to schedule a consultation. Early intervention could make all the difference in preserving hand function and improving your quality of life.
