Dupuytren's Contracture

Introduction.

Dupuytren's disease is an abnormal thickening of the fibrous tissue in the palm of the hand which limits movement of the fingers and leads to gradual and progressive contracture of the fingers. In advanced cases, a cord forms beneath the skin that stretches from the palm to the base of the fingers. The cord causes the fingers to bend into the palm so they cannot be fully straightened.

There is a similar condition called Plantar Fibromatosis which can occur in the foot.

Cause

The cause of Dupuytren's contracture is unknown but it does run in families and is most common in people with ancestors from Northern Europe. The condition is often said to have been brought over to Northern England by the Vikings. It occurs more often in men than in women, and usually starts after age 40.

Signs and Symptoms.

Dupuytren's disease usually begins as a small lump or pit in the palm of the hand. This tends to occur near the crease of the hand that is most common at the base of the ring and little fingers. With time, the cord may develop and become thicker, pulling the finger into the palm.

The condition is usually noticed when the palm cannot be placed flat on an even surface, such as a table top. In severe cases, drawing of the fingers into the palm interferes with everyday activities and hand function.

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The information on these pages is presented as a rough guide to help you understand your condition better. The information is in no way intended to be a comprehensive coverage of the subject. As all patients and their conditions are different, the treatment may vary from time to time. All patients are encouraged to take steps to ensure that they are as well educated about their conditions as possible. Other sources of information inc

Philip Allen Orthopaedic
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