Dupuytren's contracture

Dupuytren's contracture is a progressive condition that causes one or more fingers to curl into the palm of the hand. It is caused by a thickening of the skin in the palm. Over time, this thickened tissue can form cords that pull the fingers inward, making it difficult to straighten them. While the condition is not painful in most cases, it can significantly limit hand function.
 

What are the symptoms of dupuytren's contracture?
 

The symptoms of dupuytren's contracture can progress slowly over many years and may include:

• Lumps in the palm: The first sign is often a small, firm lump or nodule under the skin of the palm.

• Cords: A cord of tissue may form, extending from the palm into one or more fingers.

• Contracture: The finger(s) begin to pull inward, making it difficult to lay the hand flat on a surface.

The ring and little fingers are most commonly affected, though it can also involve the thumb and other fingers.

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How is dupuytren's contracture diagnosed?

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A hand specialist, like Mr Shyamalan, can diagnose dupuytren's contracture with a simple physical examination of your hand. He will assess the lumps and cords in your palm, and test your hand's ability to lay flat on a table. No imaging is typically required for diagnosis.

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How is dupuytren's contracture treated?

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The treatment for dupuytren's contracture depends on the severity of the condition and how much it affects your daily life. The goal of treatment is to release the cords and restore hand function. Treatment options include:

• Needle fasciotomy: A minimally invasive procedure where a needle is used to break the cords, releasing the contracture.

• Injections: An enzyme is injected into the cord to weaken it, allowing the finger to be manipulated straight after a short period.

• Surgical fasciectomy: This is a more traditional surgical procedure where the cord tissue is surgically removed.

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Mr Shyamalan will discuss the best option for your specific case.

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Seek expert care for hand and finger conditions

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If you are concerned about a lump in your palm or a finger that is starting to curl, don't wait. As a leading hand surgeon in the West Midlands, Mr Shyamalan specialises in treating dupuytren's contracture and other hand conditions.

 

Contact Midland Hand Clinic today to book your consultation and regain full hand function.