Dupuytren’s Contrature

Overview

Symptoms

Procedure

Recovery

About Dupuytren’s Contrature

Dupuytren's contracture is a progressive condition that affects the connective tissue beneath the skin of the palm and fingers, leading to the formation of thickened cords that can cause the fingers to bend towards the palm. This contracture primarily involves the ring and little fingers, making it difficult to perform everyday tasks. The exact cause of Dupuytren's contracture is not fully understood, but it is thought to be influenced by genetic factors and is more common in individuals of Northern European descent. The condition typically progresses slowly over years and may eventually lead to significant functional impairment if left untreated.

Symptoms

The symptoms of Dupuytren's contracture can vary in severity and usually develop gradually over time. Common symptoms include

Nodules

The earliest sign is often the formation of small, firm lumps or nodules in the palm, which may be tender to touch initially but usually become painless over time.

Finger Contracture

The most characteristic symptom is the bending of one or more fingers towards the palm. This contracture typically affects the ring and little fingers and may worsen over time, making it difficult to straighten the fingers fully.

Thickened Skin

The skin on the palm may appear thickened or puckered over the nodules, with a dimpling effect that progresses as the disease advances.

Reduced Hand Function

As the contracture progresses, the ability to grasp objects, shake hands, or perform other hand functions may become increasingly impaired, affecting daily activities.

Cords

As the condition progresses, thickened cords of tissue form beneath the skin, extending from the palm into the fingers. These cords may feel tight and restrict finger movement.

Procedure

Recovery after treatment for a ganglion cyst depends on the procedure performed and the individual's overall health.

Non-Surgical Recovery

For mild infections treated with antibiotics and warm soaks, recovery can be relatively quick, often within a few days to a week. Patients should monitor for any signs of worsening infection and follow up with their healthcare provider as needed.

Post-Surgical Recovery

Recovery from surgical procedures such as incision and drainage or debridement typically takes longer. The affected area may need to be immobilized temporarily with a splint or dressing to protect the wound and reduce pain. Stitches, if used, are usually removed within 1 to 2 weeks.

Physical Therapy

In cases where the infection involved deeper structures or where there was significant tissue damage, physical therapy might be recommended to restore strength, flexibility, and function in the affected hand or finger.

Recovery

Recovery from treatment for Dupuytren's contracture varies depending on the type of procedure performed.

Minimally Invasive Procedures: Recovery from needle aponeurotomy or collagenase injection is relatively quick, with most patients resuming normal activities within a few days to a week. However, physical therapy may be recommended to improve hand function and prevent stiffness.
Surgical Procedures: Recovery from a fasciectomy or dermofasciectomy typically takes longer. The hand may be immobilized in a splint for several weeks post-surgery, and physical therapy is essential to restore strength, flexibility, and function. Complete recovery can take several months, and patients are advised to follow a strict rehabilitation program to optimize outcomes.
Long-Term Management: Despite successful treatment, Dupuytren's contracture can recur over time. Regular follow-up with your healthcare provider is important to monitor for signs of recurrence, and ongoing hand exercises may be recommended to maintain function.