Dupuytren’s Contracture

Our Experts Restore Mobility for Those with Dupuytren’s Contracture

EmergeOrtho’s orthopedists are proficient and highly trained to help those experiencing Dupuytren’s contracture.

This painless condition prevents the ability of one or more fingers from fully straightening. Tissue thickens under the skin and bends a finger or fingers toward the palm. This condition can interrupt daily activities.

While the exact cause is unknown, it is more common in those of northern European heritage, so there appears to be a genetic link. It’s often confused with trigger finger, but Dupuytren’s contracture features characteristic nodules, cords and pits caused by thickened tissue.

Surgical Release of Dupuytren’s Contracture

Surgical release of the diseased tissue is a common treatment for Dupuytren’s contracture.

In this outpatient surgery, an incision is made in the hand and the surgeon cuts and removes the thick band of tissue to improve movement of the tendons. In cases where attached skin is removed along with tissue, skin grafts are needed to replace the skin. Physical therapy is needed after surgery and recovery could take several weeks.

Non-Surgical Release of Dupuytren’s Contracture

Two new treatments have developed in last 5-10 years. These include enzyme injections and needling to help passively extend the fingers.

Enzyme Injection

Enzyme is injected into cord in the palm to help soften and weaken the cord. The patient returns to the office the next day and physician is able to passively extend finger to make it straight.

Needling

This is an in-office procedure that involves the use of needles moving in an up and down fashion, similar to a needle on a sewing machine, to help divide the cords. This allows the fingers to be extended straight and can help avoid surgery.

It is important to note that the underlying condition still exists and contraction can re–occur.

Although Dupuytren’s contracture doesn’t cause pain, it is bothersome when your fingers can’t bend naturally. Contact us to learn more about this condition and how EmergeOrtho’s knowledgeable hand and wrist doctors can help you.