Dupuytren’s Contracture 

 Dupuytren’s disease is a thickening of the palmar fascia in the hand, resulting in nodules or cords that can cause the fingers to be drawn into the palm.  The condition often has a strong family history. 

Some individuals have small bumps and require only observation.  When a significant contracture occurs from Dupuytren’s, the bent finger will make it difficult to wear gloves, shake hands, or put the hand flat on the table. 

We at POACc recommend that if hand function is affected, usually with the contracture exceeding 30°, then treatment is indicated.  

A new treatment is an enzyme injection performed in the office with a medicine called Xiaflex. A small injection is performed into the cord as an office procedure, followed by manipulation to straighten the finger several days later. 

If the disease has progressed to an advanced stage, surgery to remove the thick cords is performed as an outpatient surgery at POACC. The bandages are worn for several days, followed by early finger motion to restore function. 

If you would like your symptoms diagnosed or evaluated, or would like to explore our treatment options, contact our clinical coordinator at POACC.