Dupuytren’s contracture is a hand condition where the fingers gradually curl inward due to thickening of the tissue in the palm. This condition can make everyday tasks, like shaking hands or holding objects, difficult and is often seen in middle-aged or older adults. For residents in Nebraska and Iowa, understanding Dupuytren’s contracture, its symptoms, and treatment options can help in managing this condition effectively.
What is Dupuytren’s Contracture?
Dupuytren’s contracture affects the connective tissue under the skin of the palm. This tissue, called fascia, thickens and tightens over time, pulling the fingers inward. The ring and little fingers are most commonly affected, and the condition is progressive, often worsening over years.
Symptoms of Dupuytren’s Contracture
Symptoms develop slowly and may include:
- Nodules in the Palm: Small, firm lumps or nodules develop under the skin, often near the base of the fingers.
- Tightening of the Palm Skin: Over time, the skin on the palm becomes tight, and the fingers begin to pull inward.
- Limited Finger Extension: The affected fingers can’t fully straighten, which can interfere with daily activities.
Causes and Risk Factors
While the exact cause of Dupuytren’s contracture is unknown, several factors increase the risk:
- Genetics: It often runs in families, particularly in individuals of Northern European descent.
- Age and Gender: Most common in men over the age of 50.
- Medical Conditions: People with diabetes and epilepsy may have a higher risk of developing Dupuytren’s.
- Lifestyle Factors: Smoking and alcohol consumption are linked to an increased risk.
Diagnosing Dupuytren’s Contracture
An orthopedic specialist can typically diagnose Dupuytren’s through a physical exam, checking for nodules, tightness, and finger flexibility.
Treatment Options in Nebraska and Iowa
Treatment for Dupuytren’s contracture depends on the severity and progression. Options include:
- Non-Surgical Treatments
- Needle Aponeurotomy: A minimally invasive technique using a needle to release the tight bands of tissue, allowing more finger movement.
- Enzyme Injections: Collagenase enzyme injections help break down the thickened tissue, improving hand flexibility over time.
- Surgical Treatments
- Fasciotomy: During this procedure, a surgeon cuts the thickened bands in the palm, releasing tension.
- Subtotal or Total Fasciectomy: For severe cases, a larger portion of the tissue is removed, providing more significant improvement in hand function.
Recovery and Rehabilitation
Recovery varies depending on treatment. Non-surgical treatments generally have a short recovery period, while surgery may require a couple months of healing and physical therapy to restore movement and strength in the hand.
When to Seek Treatment in Nebraska and Iowa
If you notice nodules or difficulty straightening your fingers, an orthopedic consultation can help you understand treatment options and prevent further progression. Early intervention can make a significant difference in preserving hand function.
