Dupuytren's contracture (also called Dupuytren's disease) is an abnormal thickening of fascia, a layer of tissue under the skin, in the
palm of your hand at the base of your fingers. This thickened area may develop into a hard lump or thick band. Over time, it can cause one or more fingers to curl (contract), or pull sideways or in toward your palm. The ring and little fingers are most commonly affected. In many cases, it affects both hands. Rarely, feet may also be affected. What causes Dupuytren's contracture?Dupuytren's contracture is believed to run in families (be hereditary). The exact cause is not known. It may be linked to cigarette smoking, alcoholism, diabetes, nutritional deficiencies, or medicines used to treat seizures. Who is at risk for Dupuytren’s contracture?You may be at greater risk for Dupuytren’s contracture if you:
What are the symptoms of Dupuytren's contracture?Common symptoms may include:
The symptoms of Dupuytren's contracture may look like other health problems. Always see your healthcare provider for a diagnosis. How is Dupuytren’s contracture diagnosed?Your provider will examine your hand. He or she will test the flexibility and feeling in your thumb and fingers. Your grip and pinch strength may also be tested. Your provider will measure and record the locations of nodules and bands on your palm. Using a special tool, he or she will measure how much your fingers are curling or contracting. Range of motion in your fingers may also be measured. These measurements will be compared to later measurements to see if the disease gets any worse. They can also be used to see if treatment is working. How is Dupuytren's contracture treated?Your healthcare provider will create a care plan for you based on:
There is no cure for Dupuytren’s contracture. The condition is not dangerous. Many people don’t get treatment. But treatment for Dupuytren's contracture can slow the disease or help ease your symptoms. Treatments for Dupuytren's contracture may include:
What are the complications of Dupuytren’s contracture?Over time, you may have trouble using your hand for certain tasks. You may not be able to grasp large objects or straighten your fingers. When should I call my healthcare provider?Call your healthcare provider if your symptoms get worse or you have new symptoms. Key points about Dupuytren's contracture
Can you pull a tendon in the palm of your hand?cuts – cuts across the back or palm of your hand can result in injury to your tendons. sports injuries – extensor and flexor tendons can be injured when playing sports like rugby, and the pulleys holding flexor tendons can rupture if you do a lot of strenuous gripping like in rock climbing.
How do you treat tendonitis in the palm of your hand?Treatment for Tendonitis in the Hand and Wrist. Immobilization. Bracing. Splinting.. Nonsteroidal anti-inflammatory medicines.. Steroid Injection.. How serious is Dupuytren's contracture?The condition is not dangerous. Many people don't get treatment. But treatment for Dupuytren's contracture can slow the disease or help ease your symptoms.
What happens if Dupuytren's contracture is left untreated?Dupuytren's contracture complications
If left untreated, Dupuytren's contracture can be debilitating. As the condition progresses, it can limit your ability to open your hand fully, grasp small objects, or insert your hands in narrow spaces.
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