Dupuytren’s contracture is a gradual thickening and hardening of the normally flexible layer of tissue under the skin of the hand. Over time, one or more fingers may pull upward toward the palm and remain in a permanently bent position.

The causes of Dupuytren’s contracture are not well understood. The condition has not been linked to past injuries, nor is it believed to be caused by activities that involve repetitive hand vibration. In many cases, it first becomes apparent after age 50.

What Are the Early Signs of Dupuytren’s Contracture?

Dupuytren’s contracture usually develops slowly over many years. Some common symptoms include:

• Difficulty fully opening the hand
• Difficulty straightening a finger
• Difficulty grasping objects
• A firm, painless knot on the palm
• Dimpling or puckering of skin on the palm

If you have symptoms of Dupuytren’s contracture, you can consult with an experienced hand specialist at Premier Bone & Joint Centers in Riverton, Wyoming.

How Can Dupuytren’s Contracture Be Treated?

Treatment for Dupuytren’s contracture is sometimes unnecessary, especially if the symptoms are not painful or limiting. Instead, your physician at Premier Bone & Joint Centers may suggest a wait-and-watch approach. To monitor your condition, the physician may periodically perform a tabletop test in which you attempt to place your hand flat on a table, palm-side down.

If necessary, Dupuytren’s contracture can be treated with needling, enzyme injections, or, in severe cases, surgery. The goal is to soften or break up the fibrous cords of tissue under the skin that are pulling the fingers toward the palm.

The orthopedic team at Premier Bone & Joint Centers welcomes individuals who have symptoms of Dupuytren’s contracture or nonspecific hand or wrist pain. Throughout the diagnostic and treatment process, we provide our patients with the individualized attention and extensive support that they need to return to their active lifestyles.

To request an appointment with a hand doctor at our satellite clinic in Riverton, WY, contact Premier Bone & Joint Centers today.