Dupuytren’s contracture

Dupuytren’s contracture, also known as Dupuytren’s disease, is a progressive condition that affects the connective tissue (fascia) in the palm of the hand and fingers. It causes the tissue to thicken and form nodules or cords, which can lead to the progressive flexion or bending of the fingers into a contracted position.

The exact cause of Dupuytren’s disease is not fully understood, but it is believed to result from a combination of genetic and environmental factors. Some factors that may contribute to the development of Dupuytren’s disease:

Genetic Predisposition: Dupuytren’s disease often runs in families, suggesting a genetic component.
Age and Gender: Dupuytren’s disease is more common in older individuals, typically affecting people over the age of 50. Men are also at a higher risk compared to women.
Ancestry: People of northern European descent, particularly those of Scandinavian, Celtic, or Anglo-Saxon heritage, have a higher incidence of Dupuytren’s disease.
Smoking and Alcohol Consumption: While the link is not fully understood, there is some evidence to suggest that smoking and excessive alcohol consumption may increase the risk of developing Dupuytren’s disease.
Diabetes and Other Medical Conditions: Certain medical conditions, such as diabetes, epilepsy, and liver disease, have been associated with an increased risk of Dupuytren’s disease.

Dupuytren's Disease

Dupuytren’s Disease commonly affects the ring and little fingers. It leads to progressive contracture and may result in loss of function.

Treatment & Recurrence

Treatment for Dupuytren’s disease depends on the severity of symptoms and the impact on hand function. Mild cases may not require intervention, but if the contracture significantly affects hand function, surgery may be needed. Surgery is aimed to release or remove the thickened cords of tissue and restore finger extension

Recurrence of Dupuytren’s disease refers to the reformation of thickened cords or contractures in the palm and fingers after surgical treatment or other interventions. Dupuytren’s disease has a tendency to recur, and the likelihood of recurrence can vary. The rate of recurrence is variable, ranging from relatively low to more frequent occurrences. Studies have reported recurrence rates ranging from 10% to 70% following surgical treatment, depending on the severity of the disease, and individual factors.

Get Expert Help

If you are experiencing hand pain or have a hand contracture with limited function, or other concerning symptoms, Dr. Arthur Turow can assess your hand, provide you with an accurate diagnosis and suggest appropriate treatment options specific for your individual needs.

Please use above information as a guide only. More detailed information specific to your condition and your recovery will be given in your consultation with Dr. Arthur Turow, who will also provide additional resources to supplement your discussion. For more information, please contact the rooms of Dr. Arthur Turow on (08) 8236 4179.