Dupuytren's Contracture
What is Dupuytren's Contracture?
Dupuytren's Contracture is a condition where the connective tissue in the palm thickens and contracts, leading to flexion deformities of the fingers.
- Gradual thickening of the palmar fascia
- Commonly affects the ring and little fingers
Overview of the Condition
The condition progresses slowly, and in advanced cases, it can impair hand function.
Symptoms
- Firm nodules in the palm
- Progressive finger contracture
- Reduced hand mobility
Causes
While the exact cause is unknown, genetics and certain risk factors (such as age and alcoholism) are associated with the condition.
Diagnosis
Diagnosis is based on clinical examination and patient history.
Treatment Options
- Needle aponeurotomy
- Enzymatic injections (e.g., collagenase)
- Surgical fasciectomy in advanced cases
Conservative Management
Early-stage management includes physical therapy and splinting to slow progression.
Rehabilitation Exercises
- Finger extension exercises
- Stretching of the palmar fascia
- Hand strengthening routines
Surgical Options
Surgical intervention may be needed for significant contractures affecting hand function.
Anatomy Overview
Dupuytren's Contracture involves the palmar fascia, leading to thickening and shortening of tissue in the hand.
Affected Areas
- Palmar area of the hand
- Ring and little fingers most commonly
Frequently Asked Questions
| Question | Answer |
|---|---|
| Is Dupuytren's Contracture painful? | It is usually painless but can significantly affect hand function. |
| Can the condition be reversed? | Treatment can improve function, but recurrence is common. |
Prevention Strategies
- Avoid excessive hand strain
- Stop smoking and reduce alcohol intake
- Early physical therapy may help slow progression