Dupuytren's Disease
Overview
Dupuytren’s disease, also known as Dupuytren’s contracture, is a hand condition that causes the fingers to bend toward the palm and can eventually lead to a loss of hand function. The condition occurs when the tissue under the skin of the palm thickens and tightens, forming a cord that pulls the fingers inward. Dupuytren’s disease is more common in men over the age of 40 and can be hereditary.
Procedure
The treatment for Dupuytren’s disease typically involves the following steps:
Observation: In some cases, Dupuytren’s disease may not cause significant pain or discomfort, and the fingers may not be bent enough to interfere with normal hand function. In such cases, the doctor may recommend observation and monitoring to see if the condition progresses.
Medications: Medications, such as collagenase injections or topical medications, may be used to soften and break down the cords in the palm. Collagenase injections involve injecting an enzyme into the cord to dissolve the tissue, while topical medications are applied directly to the skin.
Surgery: If the Dupuytren’s disease is severe and affecting hand function, the doctor may recommend surgery. Surgery involves making an incision in the palm and removing the thickened tissue and cords. After surgery, the patient may need to wear a splint or cast and participate in hand therapy to regain function.
Recovery: Recovery time after surgery can vary, but most patients can return to their normal activities within six to eight weeks. Hand therapy is an essential part of recovery, as it helps to regain strength and mobility in the hand and fingers.
In summary, Dupuytren’s disease is a hand condition that causes the fingers to bend toward the palm and can lead to a loss of hand function. The treatment options for Dupuytren’s disease include observation, medications, and surgery. Medications such as collagenase injections or topical medications may be used to soften and break down the cords in the palm. Surgery involves making an incision in the palm and removing the thickened tissue and cords, followed by a period of recovery and hand therapy to regain function.