Dupuytren’s Contracture: Modern Treatments for "Curling Fingers
- Jun 11
- 2 min read
Dupuytren’s Contracture is a condition that causes the fingers to gradually bend toward the palm, making it impossible to straighten them. While it isn't usually painful, it can significantly interfere with daily tasks like shaking hands, putting on gloves, or typing.
How Does It Start?
It begins with small, hard nodules forming under the skin of the palm. Over months or years, these nodules can develop into "cords" of toughened tissue.
When Should You Seek Help?
A simple way to test for the progression of the disease is the "Tabletop Test." Try to lay your hand flat on a hard surface. If you cannot get your palm and fingers to touch the table, it is time to consult a specialist.
Modern Treatment Options
At Midland Hand Clinic, we offer several ways to address the contracture based on the severity:
Needle Fasciotomy (Percutaneous Release): A minimally invasive procedure where a needle is used to break the cords of tissue through the skin. This has a very fast recovery time.
Open Fasciectomy: For more severe cases, the affected tissue is surgically removed to allow the finger to straighten fully.
Dermofasciectomy: In cases where the skin is also involved, the skin and the cord are removed and replaced with a small skin graft to prevent recurrence.
Why Specialised Care Matters
Dupuytren’s has a high rate of recurrence if not treated correctly. Choosing a specialist hand surgeon like Mr Shyamalan ensures that the delicate nerves and blood vessels surrounding the cords are protected during the release.
Mr Shyamalan, Consultant Hand, Wrist and Elbow Surgeon at Midland Hand Clinic, specialises in diagnosing and treating a wide range of hand and wrist conditions. Don't let discomfort hold you back.
Schedule a consultation with Mr Shyamalan at Midland Hand Clinic today to discuss your concerns and explore potential solutions. Submit an enquiry through our website and we’ll get back to you as soon as we can.
