Dupuytren Contracture

Dupuytren contracture is a medical condition that affects the hands, causing one or more fingers to bend into the palm. It is a chronic condition that progresses slowly over time, and it can cause significant disability if left untreated.

Causes and Risk Factors

The exact cause of Dupuytren contracture is not known, but it is believed to be related to a combination of genetic and environmental factors. Some risk factors for developing Dupuytren contracture include:

• Age: Dupuytren contracture typically affects people over the age of 50.
• Sex: Men are more likely to develop Dupuytren contracture than women.
• Family history: Having a family history of Dupuytren contracture increases a person's risk of developing the condition.
• Diabetes: People with diabetes are at increased risk of developing Dupuytren contracture.
• Smoking and alcohol consumption: Smoking and heavy alcohol consumption may increase a person's risk of developing Dupuytren contracture.

Symptoms

The symptoms of Dupuytren contracture typically develop slowly over time, and they may include:

• A lump or nodule in the palm of the hand, usually near the base of the finger.
• A cord or thickened tissue that forms under the skin in the palm of the hand.
• One or more fingers bending into the palm, making it difficult to straighten them.
• Pain or discomfort in the hand or fingers.

Diagnosis

Dupuytren contracture is typically diagnosed based on a physical examination and medical history. A doctor may perform a series of tests, including:

• Visual inspection: The doctor will examine the hand and fingers to look for any lumps, nodules, or cords.
• Range of motion test: The doctor will ask the person to move their fingers through a range of motions to assess flexibility and strength.
• X-ray: An X-ray may be taken to rule out other conditions that can cause similar symptoms.

Treatment Options

Treatment for Dupuytren contracture depends on the severity of the condition and the person's overall health. Some treatment options include:

• Watchful waiting: For mild cases, a doctor may recommend monitoring the condition to see if it progresses.
• Corticosteroid injections: Injecting corticosteroids into the affected area can help reduce inflammation and relieve symptoms.
• Collagenase injections: Injecting collagenase into the affected area can help break down the thickened tissue and improve flexibility.
• Surgery: In severe cases, surgery may be necessary to remove the thickened tissue and restore range of motion.

Complications

If left untreated, Dupuytren contracture can lead to significant disability and complications, including:

• Loss of hand function: The condition can cause permanent bending of the fingers, making it difficult to perform everyday activities.
• Pain and discomfort: Dupuytren contracture can cause chronic pain and discomfort in the hand and fingers.
• Nerve damage: In severe cases, the condition can cause nerve damage, leading to numbness, tingling, or weakness in the hand or fingers.