Dupuytren’s contracture affects the hand function of as many as 15 million people in the United States. The experienced physicians at The Hand Center, with offices in Hartford, Glastonbury, Tolland, and Bloomfield, Connecticut, offer both conservative treatments and surgery for Dupuytren’s contracture that results from a hereditary condition. Find out more about your options for treating Dupuytren’s contracture by calling The Hand Center office nearest you or by requesting an appointment online today.
Dupuytren’s disease is a hereditary condition that causes abnormal thickening in the underlayer of skin in the palm of your hand. In its early stages, Dupuytren’s disease can cause puckering in the skin of the palm and eventually, a firm, tender lump can form in the area.
The cause of Dupuytren’s disease is not well-understood, but people of Northern European descent and men over 40 are at increased risk of developing the condition.
Over time, this thickening of the skin can also lead to Dupuytren’s contracture, described as the pulling inward and bending of the fingers, which are difficult to straighten.
While the condition might not cause pain, the gradual bending of your fingers can cause a deformity severe enough to interfere with your quality of life in one or both of your hands.
In many cases, the physicians at The Hand Center can diagnose Dupuytren’s contracture based on a physical exam of your hands. They look for hallmark signs of thickened palm tissue like puckering and a visible lump.
Your provider will probably ask you to move your hand in certain ways like placing it flat against the table.
Your treatment plan for Dupuytren’s contracture depends on the severity of your symptoms and how they interfere with the function of your hand.
In the early stages when you have no symptoms that interfere with hand function, your provider at The Hand Center will often take a wait-and-see approach, monitoring your condition over time.
If you have noticeable bending in your fingers that makes it difficult to perform activities, you may be treated with an injection of Xiaflex®, a medication that breaks down the abnormally thick tissue in your palm, so your provider can move your finger into their proper positions.
Surgery is also available for Dupuytren’s contracture. The focus of the surgery is to remove the excess tissue and reposition your affected fingers. The Hand Center surgeons also offer joint release surgery to remove the soft tissue from around a joint that limits its full range of motion.
If you have a noticeable bending in your fingers or a hard lump on the palm of your hand, schedule a diagnostic evaluation with the experts at The Hand Center online or by calling the office nearest you.