Dupuytren’s contractures develop as a result of the thickening of palmar fascia in your hand.
Dupuytren’s contractures develop as a result of the thickening of palmar fascia in your hand. Cords may begin as a thick area of tissue in the palm or finger, but over time they may pull the fingers down and prevent the fingers from fully straightening. This deformity is more common in people with Northern European heritage. There is no specific known cause of the development of the contractures. It is easily diagnosed upon physical examination by a hand specialist. Usually the cords develop slowly and sometimes they may remain as a small painless nodule that doesn’t affect finger extension. If this is the case, there is generally no treatment that is needed. Over time the cord may begin to tether the fingers down and affect hand function. Once the bands begin to cross the finger joints causing contractures that affect daily life the patient may be a candidate for treatment with Xiaflex injections. See our “Procedures” section for more on “Xiaflex injections”.
Every patient receives an in-depth consultation to devise a treatment plan that is right for their problem. Our specialists prefer non-operative and non-invasive treatments whenever possible, including physical therapy, medications, and/or injections. When we require surgery, we will then use minimally invasive surgical techniques to fix your problem, whether it is fixing a broken bone or repairing a tendon. Our goal is always to get you back to living your life normally as soon as possible.