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Dupuytren’s Contracture

Dupuytren’s Contracture is a hand condition that causes the fingers to be pulled into a bent position or sideways. Fingers affected by this condition cannot be fully straightened.

Dupuytren’s Contracture is caused by the thickening of the fascia. As the fascia tissue thickens it will also get tighter over time, causing fingers to remain in a contracted position. This condition is also known as Dupuytren’s Disease can affect both hands at the same time. Patients with this disorder usually develop small lumps in the palm area.

Dupuytren’s Contracture can develop slowly over time. In the latter stages of this disorder, the fingers commonly are pulled into a best position. While all fingers can potentially be affected by this, it typically occurs in the ring and pinky finger.

A patient who is exhibiting symptoms of this disorder should be diagnosed and evaluated by a hand specialist. Some of the symptoms associated with Dupuytren’s Contracture can be also associated with other hand disorders.

What Causes Dupuytren’s Contracture?

The cause of Dupuytren’s Contracture is not known. Possible risk factors may include:

  • Age
  • Gender
  • Heredity
  • Tobacco Use
  • Alcohol
  • Diabetes

This condition is more common to men over 50 years of age. It also seems to run in families. Diabetics are also more likely to suffer from Dupuytren’s Contracture.

Dupuytren’s Contracture Treatment

There currently is a cure for Dupuytren’s Contracture. Treatment options may reduce the symptoms a patient is experiencing. It is possible this condition will not progress beyond the lumps that have formed in the palm. Some patients choose to live with the disorder rather than treat it.

Patients seeking treatment to reduce the symptoms of this disorder may consider Cortisone injections or XIAFLEX® injections.

Cortisone injections may be recommended in an attempt to slow the progression of the disorder.

XIAFLEX® is an FDA-approved medication made from a mixture of natural proteins known as collagenase. This enzyme injection is used to break down the excess collagen in the hand by injecting it directly into the cord. XIAFLEX is usually given in a treatment cycle of up to two injections, four weeks apart.

Surgery for Dupuytren’s Contracture may be recommended depending upon the severity of the condition.