Dupuytren’s Contracture

Dupuytren’s Contracture is a hand condition that usually develops over a number of years. It affects a layer of tissue under the skin of your palm. Dupuytren’s disease causes tissue under the skin to form knots, which eventually pull one or more fingers into a bent position.

The affected fingers can’t be straightened completely. This causes difficulty when trying to complete everyday tasks such as putting on gloves or shaking hands.

Dupuytren’s Contracture Symptoms

Dupuytren’s progresses slowly. As it progresses, the skin on your palm can begin to look puckered or dimpled. A firm lump of tissue may form on your palm. This lump might be sensitive but shouldn’t be painful. Typical symptoms include:

• A lump or nodule on the palm
• Puckered or dimpled skin
• A thickened cord running along the palm to the fingers.
• Fingers become clawed as they are pulled towards the palm

Dupuytren’s Disease Assessment

Treatment

Unfortunately, there are no preventative measures available to stop the progression of this disease. For most people, surgery is the only option. Surgery is usually recommended when you are no longer able to comfortably put your hand flat on the table.

Hand Therapy treatment for Dupuytren’s Contracture is usually post operative. It is designed to restore hand function and maintain the straightness that has been achieved through surgery. Therapy may include:

• Splinting
• Wound management
• Exercises
• Scar Care
• Surgery

What’s Next?

If you have Dupuytren’s disease, consult one of our hand therapy practitioners today.