Overview
Dupuytren contracture is a progressive hand condition characterized by abnormal thickening of the skin in the palm. It primarily affects the two fingers farthest from the thumb, causing them to bend toward the palm. Let’s explore this condition in depth:
Types of Dupuytren contracture
- Palmar Dupuytren: The most common type, characterized by thickening of the palmar fascia in the palm.
- Nodular Dupuytren: Involves the formation of small, tender lumps (nodules) in the palm.
- Corded Dupuytren: Progression from nodules to the development of tight cords under the skin, which pull the fingers toward the palm.
Causes of Dupuytren contracture
The exact cause of Dupuytren contracture remains unknown.
Risk Factors of Dupuytren contracture
several factors contribute:
- Genetics: The condition tends to run in families.
- Age: Most commonly occurs after age 50.
- Sex: Men are more susceptible.
- Ancestry: People of Northern European descent are at higher risk.
- Occupation: Vibrating tool use may be linked.
- Diabetes: Increased risk for individuals with diabetes.
- Tobacco and Alcohol: Both elevate risk.
Symptoms of Dupuytren contracture
1. Firm lump in the palm (may be painful or painless).
2. Extension of the lump into a hard cord under the skin.
3. Finger(s) pulled toward the palm, affecting daily activities.
Preventions of Dupuytren contracture
While prevention is challenging due to genetic factors, consider:
- Maintaining overall hand health.
- Avoiding tobacco and excessive alcohol.
Diagnosis of Dupuytren contracture
- Based on physical examination and medical history.
- Assess degree of finger contracture and impact on function.
Treatment for Dupuytren contracture
- Non-Surgical Options:
- Physical Therapy: Maintain hand mobility.
- Splinting: Prevent further contracture.
- Injections (Collagenase): Break down the cord.
- Surgical Options:
- Fasciectomy: Removal of affected tissue.
- Needle Aponeurotomy: Minimally invasive.
- Rehabilitation: Post-surgery hand therapy.
- Regular Follow-Up: Monitor disease progression.
When to seek medical attention ?
Consult a healthcare professional if you experience:
- Finger contracture affecting daily activities.
- Pain or discomfort in the palm or fingers.
