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What exactly is Dupuytrens?

October 07, 2019

Dupuytren's contracture is an anomalous thickening of the tissue just underneath the skin. This thickening happens in the palm and can pull the fingers into a bent position. . Pits, nodules, bumps and eventually cords form under the skin of the palms and eventually begin to pull the fingers into a bent positon. This condition may likewise be known as Dupuytren's Disease.


What causes Dupuytrens?


The reason for Dupuytren's contracture is obscure. The issue is increasingly normal in men, individuals over age 40 and individuals of northern European decent. There is no demonstrated proof that overuse, hand wounds or specific occupations lead to a higher danger of building up Dupuytren's contracture .


How do you know if you have Dupuytrens?


Indications of Dupuytren's contracture include bumps, pits and cords forming in the palm. The bumps are commonly firm and can in many cases be sensitive to the touch. The cords normally form below the ring finger, but can affect any finger, and begin to pull the effected finger to a bent position. Dupuytren’s can impact either one or both hands.


The disease can be diagnosed independently or by your physician. The condition may initially be seen due to trouble putting the hand level on a surface (Figure 3). As the fingers are drawn into the palm, it might be progressively harder to accomplish simple tasks. The condition can progress differently in individuals. Some people only develop pits and nodules and full cords never form however in most cases the condition will continue to progress as the patient ages. 

How Can I Treat Dupuytrens?


In mild cases, particularly if hand capacity is not impacted, the condition may not require treatment. A bump or nodule in the palm doesn't imply that treatment is required however once it begins the condition is likely to progress. For more serious cases, treatment alternatives are available including splints, needle therapy, surgery, drugs, injections and other invasive procedures that are not guaranteed to work. 


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