Dupuytren's Disease
Dupuytren's disease is a progressive condition that affects the hand and fingers. It is characterized by the thickening and tightening of the tissue beneath the skin of the palm and fingers, leading to the formation of nodules and cords.
The exact cause of Dupuytren's disease is still unknown, but it is believed to have a genetic component, as it tends to run in families and of individuals of northern European descent and is more prevalent in men over the age of 40. Other risk factors include, diabetes , increased alcohol intake, age or trauma.
What are the symptoms?
The primary symptom of Dupuytren's disease is the development of nodules or lumps in the palm, which may progress into thick cords that extend into the fingers. As the disease advances, these cords can contract, causing the affected fingers to bend inward towards the palm, resulting in a condition called contracture. The ring finger and little finger are most commonly affected, but any finger can be involved.
Dupuytren's disease is typically painless, but the contracture can progressively limit hand function, making it difficult to perform daily activities such as grasping objects or fully extending the fingers. In severe cases, the hand may become permanently immobilized.
What are the treatments options?
Treatment options for Dupuytren's disease depend on the severity of the condition and the impact on hand function. In mild cases, regular monitoring may be sufficient. However, if the contracture significantly affects hand function, referral to plastic surgical team for interventions such as needle aponeurotomy, or more extensive surgical procedures like fasciectomy or fasciotomy may be recommended to release the contractures and restore hand function.