What Is Dupuytren’s Contracture?
Dupuytren’s contracture is a hand condition that affects the layer of elastic tissue that underlies the skin of the palm and fingers. Over time, this normally pliant tissue can gradually thicken, which can cause one or more fingers – usually the ring finger and pinkie – to be pulled upward into a permanently bent position. The condition can occur in both hands, although one hand may be more severely affected than the other.
In many cases, Dupuytren’s contracture develops after age 50, but its precise causes are not well understood. Through research performed to date, scientists have been unable to establish any link between the condition and prior hand injuries or occupations that cause repetitive hand vibration.
What are the symptoms of Dupuytren’s contracture?
Typically, Dupuytren’s contracture progresses very slowly over the course of many years. Some common signs include:
- A thickening, dimpling or puckering of the skin on the palm
- A firm, painless knot of tissue on the palm
- An inability to straighten the ring finger and pinkie, open the hand fully or grasp large objects
How is Dupuytren’s contracture treated?
Treatment for Dupuytren’s contracture is not always necessary. If the condition is not limiting or painful, a physician may simply recommend a wait-and-watch approach. A simple way to monitor the progression of Dupuytren’s contracture is to perform a tabletop test, which involves attempting to place the palm flat on a table. When treatment is required, the goal is to break up the fibrous cords of tissue that are pulling the fingers toward the palm. This may be accomplished in a number of ways, including needling, enzyme injections or, in severe cases, surgery.
At Advanced Orthopaedics & Sports Medicine of Houston, TX, we welcome individuals who have been diagnosed with Dupuytren’s contracture as well as those who are experiencing nonspecific hand or wrist pain. Throughout the diagnostic and treatment process, our experienced orthopedic specialists are committed to providing our patients with the individualized attention and extensive support that they need to return to their active lifestyles.
To request an appointment with a fellowship-trained hand and wrist specialist, contact Advanced Orthopaedics & Sports Medicine today. We welcome patients from Houston, Texas, and other nearby communities.
To request an appointment, please enter the information on the form on the right and press the “Continue” button to start the appointment request process.
1Professional Building II At North Cypress Medical Center
2North Cypress Professional Building At Lakewood Crossing
3North Cypress Professional Building At Towne Lake
4Advanced Orthopaedics Memorial
What Our Patients Are Saying
For the first time in many years and many knee operations on one leg I am without any knee pain. This is a result of a procedure performed by Dr. Patel.
On Nov. 22, 2017, I had a spinal injection in my lower back and it was an instant miracle in my life!
I have to give everyone 5 stars from the front office and staff to Dr. Blalock and Dr. Patel all were great with very professional service.
I just recovered from my 2nd back surgery by Dr. Mohr. I love the people there so much I just went back and saw a shoulder surgeon Dr. Fehsenfeld for cortisone shots.
Dr. Patel is one of the best Doctors I have ever had. She is pretty good at her job. She makes it plain and simple. She is also very thoughtful. I was very glad to have met her.
Excellent care and attention to patients. I recently had a total hip replacement and I am able to walk 6 weeks after surgery with no cane.
I highly recommend Advanced Orthopaedic & Sports Medicine to anyone who needs anything dealing with bone replacement.
When I started, I couldn’t put any weight on my right leg and now I can do virtually anything. While I hope to not need future therapy, this is without a doubt the place I will return to in the future.
So I was going to get on here and brag about what a great surgeon Dr. Cubbage is. But Cubbage is only 3/4 of the picture. He’ll fix you, but Karen is the one that will care for you and heal you!
Everyone here is so professional and kind. Everything was explained to me so that could understand what had to be done.