Dupuytren Contracture: Why Can’t I Straighten My Fingers?!?

Dupuytren's disease is a condition that affects the fascia which is the fibrous layer of tissue that lies underneath the skin in the palm and fingers. In patients with Dupuytren's, the fascia thickens, then tightens over time. As a result, the fingers are pulled inward towards the palm, resulting in what is known as a "Dupuytren's Contracture."

In some patients, a worsening Dupuytren's contracture can interfere with hand function, making it difficult for them to perform their daily activities. When this occurs, there are nonsurgical and surgical treatment options available to help slow the progression of the disease and improve motion in the affected fingers.

Cause

The cause of Dupuytren's disease is not completely known, but most evidence points towards genetics as having the most important role.

Surgical Treatment

If the contracture interferes with hand function, your doctor may recommend surgical treatment. The goal of surgery is to reduce the contracture and improve motion in the affected fingers. This procedure is known as a "Partial Palmar Fasciectomy" and can be performed as an outpatient procedure.

Non-Surgical Treatment

Depending on the severity of the contracture, some cords can be treated non-operatively with an injection of Xiaflex. Xiaflex breaks down the thickened tissue in the hand. These injections are typically administered by a physician who is trained in this procedure.

Dr. Bilbrew is an Orthopaedic Surgeon and a Hand and Upper Extremity Specialist with Resurgens Orthopaedics . Her offices are located conveniently in Decatur, GA and Snellville, GA. Appointments can be made online or via phone call 770-491-3003. No referrals are needed to be seen. Same day appointments may be available.

https://www.resurgens.com/physicians/lattisha-l-bilbrew-md