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Dupuytren’s Contracture

What is Dupuytren’s Contracture?

Dupuytren’s Contracture is a genetic disorder whereby the fascia of the hand contracts so that the fingers no longer fully extend.

 

Common Symptoms & Causes of Dupuytren’s Contracture

The first sign is a tender nodule in the hand. Over time, the nodule grows and becomes a rope-like ‘cord’ that progressively pulls the digit closed. The rate of progression is genetically determined.

 

Treatment

There’s not much that can be done to slow down its progression; stretching is not effective. A tender nodule can be injected with steroid to decrease tenderness.
The Dupuytren’s cord should not be surgically removed until there is a contracture / loss of ability to extend the finger. This is because prematurely removing immature disease can speed up the disease’s progression. There a variety of treatments your hand surgeon will discuss with you:

 

  • Xiaflex
  • Needle Aponeurotomy
  • Surgical excision

 

After any the above options have been selected, the hand is splinted for 2 days and then hand therapy starts. It’s crucial to start using the hand early on to avoid stiffness. The hand therapist will make a custom splint that is worn only at night for 6 months. It is believed that night splinting helps decrease recurrence rates.