What is Dupuytren contracture?

Dupuytren contracture involves progressive tightening of the fibrous tissue bands or fascia within the palms. This results to the curling of the fingers that later on result to a claw-like hand.

This is a common hereditary condition that affects men especially after the age of 45. Nevertheless, having the abnormal gene will not ensure that an individual will develop the condition. If only one hand is involved, the right hand is affected twice often as the left.

Close look on Dupuytren contracture

Always bear in mind that Dupuytren contracture is usually common among individuals who have epilepsy, diabetes or alcoholism. The condition is often linked with other conditions including the thickening of the fibrous tissue at the upper part the knuckles and shrinking of the fascia within the penis that results to painful and deviated erections as well as the presence of nodules on the soles of the feet. Nevertheless, the specific factors that trigger the thickening and curling of the fascia are unknown.

What are the indications?

The primary symptom is usually a sore nodule in the palm. The nodule might initially trigger discomfort but gradually becomes painless. Over time, the fingers start to take on a curled appearance. The curling becomes worse and the hand can appear arched or claw-like in appearance. The doctor will come up with a diagnosis by assessing the hand.

Dupuytren contracture

The primary symptom is usually a sore nodule in the palm.

Management

The introduction of a corticosteroid suspension inside the nodule can help reduce the inflammation in the region if it is carried out before the fingers start to curl. Nevertheless, the tenderness often resolves without requiring treatment. Take note that the injection will not delay the progression of the condition though.

When it comes to minimal scarring, one or several injections of collagenase can help restore the ability to move. The injectable form of collagenase is comprised of a type of bacteria known as Clostridia.

Surgery might be required if the hand could not be flattened on a table or when the fingers are curled in a manner that the hand function is limited. Surgery that involves removal of the affected fascia is difficult since the fascia surrounds the blood vessels, nerves and tendons.

Dupuytren contracture has the tendency to persist after surgery if elimination of the fascia is partial or a recently affected fascia develops particularly among individuals who developed the condition at an early age or have a family history of the condition.

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