Hand Surgery

Dupuytren’s disease (Dupuytren’s Contracture)

Dupuytren’s disease (Dupuytren’s Contracture)

Palmar aponeurosis is a fibrous tissue located under the palmar skin. Thickening of the aponeurosis results in increasing bending of fingers with extensor lag.

Who gets Dupuytren’s Disease?

There is no relationship with the trauma between Dupuytren’s contracture. Disease is more common in persons with epilepsy, alcoholism,diabetes. Also, some occupations like shoe repairers has increased incidence.

What are the findings of the Dupuytren’s disease?

 

Dupuytren’s contracture starts with thickening of the palmar aponeurosis. Palpable nodules under the skin can be palpated as a result of thickening and fibrosis. The most commonly affected fingers are  the ring finger and 5th finger. Condition usually does not cause pain. Patiens are typically unable to put heir palmar side flat on a flat surface. When the fingers can not be opened fully with passive motion, it is called as contracture.

What is the treatment of Dupuytren’s contracture?

In the early stages, exercise and physical therapy provide good results. If contracture developed, then  contracted and thickened tissues should be removed surgically. Z-plasty techniques are performed for lengthening of the skin.  Following surgery  a special splint keeping fingers extended and physical therapy  should be applied.

About the author

Prof.Dr. Seref Aktas