Dupuytren’s Disease: Understanding the Impact on Your Hands and Treatment Options 

Dupuytren’s Disease is a condition that affects the connective tissue beneath the skin of the palm and fingers. Over time, this tissue thickens and forms nodules, which can lead to the fingers bending inward, a condition known as contracture. Though not always painful, the disease can significantly impact hand function and quality of life. Understanding Dupuytren’s Disease, its symptoms, and available treatments is essential for managing the condition and maintaining hand mobility. 

What is Dupuytren’s Disease? 

Dupuytren’s Disease is a progressive condition where the tissue beneath the skin of the palm thickens and forms rope-like cords. These cords can pull the fingers inward, resulting in a bent or “crooked” appearance. While the condition typically affects the ring and little fingers, it can involve any finger. 

The disease is named after the French surgeon Baron Guillaume Dupuytren, who first described the condition in the 19th century. It is more common in individuals of Northern European descent, particularly those over the age of 50, and it tends to be hereditary. 

What Causes Dupuytren’s Disease? 

The exact cause of Dupuytren’s Disease is still not fully understood, but several factors are believed to contribute: 

• Genetics: A family history of Dupuytren’s Disease increases the risk of developing the condition. 

• Age: The disease typically affects individuals over 50 years old, and it becomes more prevalent with age. 

• Gender: Men are more likely to develop Dupuytren’s Disease than women. 

• Other health conditions: People with diabetes, epilepsy, or liver disease are at a higher risk for Dupuytren’s Disease. 

• Lifestyle factors: Smoking and alcohol use may increase the likelihood of developing the condition. 

Symptoms of Dupuytren’s Disease 

The symptoms of Dupuytren’s Disease develop slowly over time and may vary from mild to severe. Common signs and symptoms include: 

• Nodules in the palm: Small, firm lumps or bumps under the skin of the palm may appear, often without pain. 

• Thickened cords: Over time, the tissue may form thick cords that extend into the fingers, making it difficult to straighten the fingers. 

• Finger contracture: As the disease progresses, the fingers, especially the ring and little fingers, may begin to bend toward the palm, a condition known as contracture. 

• Reduced hand function: The inability to fully extend the fingers can affect your ability to perform daily tasks like shaking hands, typing, or holding objects. 

Diagnosis of Dupuytren’s Disease 

To diagnose Dupuytren’s Disease, a doctor will typically conduct a physical examination of the hand. In some cases, the doctor may use a tool called the “tabletop test,” where you are asked to place your hand flat on a table. If your fingers do not lie flat, it may indicate the presence of Dupuytren’s Disease. Imaging tests such as X-rays are generally not required unless there are concerns about other underlying conditions. 

Treatment Options for Dupuytren’s Disease 

Although there is no cure for Dupuytren’s Disease, several treatment options are available to manage the condition and improve hand function. Treatment varies depending on the severity of the disease and the degree of finger contracture. 

Non-surgical Treatments: 

1. Stretching exercises: Stretching the fingers regularly can help maintain mobility and prevent further contracture. 
2. Collagenase injections: In cases of moderate contracture, an enzyme called collagenase may be injected to break down the thickened tissue and improve finger extension. 
3. Needle aponeurotomy: A needle is used to puncture and break up the cords of tissue, which can help straighten the fingers. 

Surgical Treatments: 

1. Fasciotomy: In severe cases, surgery may be necessary to cut the thickened tissue and release the contracted fingers. This procedure is typically done under local anesthesia and has a high success rate.
2. Fasciectomy: This more invasive surgery involves removing the affected tissue to prevent further contracture. It is generally reserved for more advanced cases. 

Recovery and Outlook 

The outlook for Dupuytren’s Disease varies depending on the severity of the condition and the treatment chosen. Non-surgical treatments can help manage symptoms and prevent progression, while surgery can provide long-term relief for severe cases.  

If you are experiencing symptoms of Dupuytren’s Disease or have concerns about your hand function, ROC is here to help. Our experts provide personalized treatment options to manage the disease and restore hand mobility, helping you get back to your daily activities.