Dupuytren’s Contractures

Dupuytren's Contractures refers to the abnormal thickening and tightening of the fascia—the fibrous layer of tissue that lies underneath the skin in the palm and fingers. As the fascia thickens and tightens, the fingers are pulled inward, towards the palm, namely the two farthest from the thumb. These fingers cannot straighten, making everyday activities all the more difficult. 

The cause of Dupuytren’s Contractures, however, is unknown, though genetics appears to play an important role. Most people suffering from it experience dimpling of the skin in the palm of the hand, a firm lump of skin in the palm, thick cords of skin that may extend into the fingers, discomfort, and an inability to lay one’s hand flat. 

If a diagnosis is confirmed, the main treatment for Dupuytren’s Contractures is Dupuytren’s Excision surgery, whereby the affected fascia is thinned or cut away, allowing the fingers to move more freely. In general, seeking treatment early tends to ensure better outcomes for patients though even with surgery, there is a potential for recurrence. Hand therapy is typically recommended following surgery to continue to improve the range of motion and function in the affected hand.