Dupuytren's Contracture
Dupuytren's contracture is a condition which affects the hand and fingers, causing the fingers to bend in towards the palm of the hand. This condition can be unilateral (on one hand only) or bilateral (both hands).
It occurs when the tissue of the palm of the hand contracts and becomes permanently shortened. As the tissue further contracts, it becomes difficult to extend the fingers and fully open out the palm of the hand.
Dupuytren's contracture is a relatively common condition, affecting around 20% of men over the age of 60. It is slightly less frequent in women.
What are the Symptoms?
- Small nodules may develop in the palm of the hand
- Usually one of the fingers becomes bent first, this may be followed by others,
- The skin of the palm of the hand may appear thickened.
- The condition is not usually painful.
What Causes Dupuytren's Contracture?
- Genetics - up to 70% of people who develop Dupuytren's contracture have a family history of the condition.
- The most common group of people to suffer with this condition are white males over the age of 40.
- Diabetes is a common risk factor.
- Epilepsy may also be linked to the condition.
- High consumption of alcohol or tobacco may also be associated with developing the condition.
What Does Treatment Involve?
Treatment of Dupuytren's contracture will depend on the severity of the condition. Many mild cases may not require any treatment at all.
Physical therapy may be used in some cases, although its effectiveness is yet to be proven. Treatments may include manipulations, sports massage, ultrasound and hydrotherapy.
The only effective treatment for more severe cases is surgery. This involves either a fasciotomy - where the connective tissue is cut, or a fasciectomy - where it is removed altogether. Fasciectomys are usually reserved for those with more severe or recurrent cases.
