Dupuytren’s Contracture: Overview, Symptoms, Causes, Treatment and Management

Dupuytren’s Contracture

Dupuytren’s contracture or Dupuytren’s disease is a medical condition in which there is the development of deformity, particularly of the hand, which happens over some time. Usually, the condition of Dupuytren’s contracture affects the layer of tissue present beneath the skin of our palm. There is the formation of knots of tissues beneath the skin, which eventually creates a thick cord. The thick cord resulting from the tissue knots pulls one or more fingers and bends the position of the fingers, and the person is not able to straighten the hand properly. The strands of muscle fibres, including the cords which run from the palm up to the fingers known as fascia, and the Dupuytren’s contractures cause abnormal tightening and thickening of this fascia.

The person affecting by Dupuytren’s contracture suffers from bent fingers, which will complicate the person’s everyday activities such as putting on gloves, putting your hands in pocket, and even shaking hands. According to medical specialists, the condition of Dupuytren’s contracture impacts the two fingers, which are far away from our thumb. The occurrence of Dupuytren’s contracture is usually more common in the older male adults and the people of northern European ethnicity. Several medical treatments are present to slow the advancement of Dupuytren’s contracture and improve the symptoms.

1Symptoms of Dupuytren’s Contracture

Symptoms of Dupuytren’s Contracture

The studies confirm that Dupuytren’s condition happens in several years, and this progression of the disease is usually slower. Dupuytren’s condition starts progressing at first with the thickening of the skin on your palms. With the progression of time, the skin on the palm starts appearing as dimpled or puckered. The tissue knots forming under the skin of your palm turns into a lump, which is very firm. The lump appearing on the palm of your hand is not painful upon touch but is sensitive to touch.

With the progressing condition of Dupuytren’s contracture, the cords of tissues start developing under the skin of your palm, and these cords might extend up to the fingers of your hand. Moreover, these cords start tightening up and make your fingers pull towards the palm, thus creating a bend in the fingers. A person having the condition of Dupuytren’s contracture is not able to maintain the straight position of his or her fingers, and this greatly affects the daily chores of their routine. The tightening up of tissue cords sometimes causes the fingers to pull more strongly towards the palm.

However, according to most medical studies, the fingers locating farthest from the sun are usually the main targets of Dupuytren’s contracture. Still, in some cases, the middle finger also suffers from the condition. The possibility of the index finger and the thumb to suffer from Dupuytren’s condition is very rare. The doctors also state that a person can have the condition of Dupuytren’s condition in both of his hands, but the symptoms of the condition are usually more severe on the one hand only. Furthermore, the studies also suggest that the condition of Dupuytren’s contracture happens in phases and the symptoms appearing in each phase are different from the others. The following are the most commonly occurring symptoms of Dupuytren’s condition in most of the patients:

Formation of nodules:

The lumps forming under the surface of your palm’s skin are one of the most occurring symptoms of Dupuytren’s disease in most of the people. These lumps are also known as nodules which are present beneath the skin of your palm. The lump or nodule present under the palm of your hand might feel sore and tender in the beginning, but all the discomfort starts fading away eventually.