DUPUYTREN’S CONTRACTURE

Description

• Dupuytren’s contracture is a condition that causes nodules, or knots, to build up underneath the skin of your fingers and palms
• It causes one or more fingers to bend into the palm of the hand

Symptoms

• The following may occur on palm:
• Unusual dimples
• Thickening of the skin
• Tenderness
• Cords of tissue form under the skin

Causes

• Genetics
• Hand injury-broken wrist

Risk Factors

• Sex: male
• Age: between 40 and 60 years of age
• Ancestry: People from Northern European descent
• Have a family history of the condition
• People who smoke or drink alcohol
• People with diabetes
• Diagnostic Tests
• Tabletop test
• Examination of palm and hand

Treatment

• Needling
• Enzyme injections: collagenase Clostridium histolyticum (Xiaflex)
• Radiation therapy
• Fasciectomy
• Lifestyle Management
• Hand splinting
• Protect your hands by:
• Avoiding a tight grip on tools
• Using gloves with heavy padding