Dupuytren’s Contracture

Dupuytren’s contracture is a condition which results in abnormal growths (nodules) in the palmar surface of the hand and fingers. These growths occur in the thin layer of the fibers known as the “palmar fascia.” Dupuytren’s nodules may grow together and shorten into tight cords, which can limit extension of the fingers causing “contractures.” Usually the nodules and cords are noted in the palm at the base of the ring and little fingers, but these may also occur over any aspect of the palmar surface of the hand. This condition is thought to be of hereditary origins, although the exact cause of this condition remains unclear. When Dupuytren’s contracture causes functional problems, either because of tightness or contracture of the digits, or if there is a noted fixed flexion contracture of the middle (PIP) joint of the finger, surgical excision may be indicated. It remains unclear if non-operative treatment modalities are useful for Dupuytren’s contracture.

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