Definition of Dupuytren’s contracture
Dupuytren’s contracture is a painless thickening and of tissue beneath the skin on the palm of the hand and fingers.
Causes, incidence, and risk factors
The cause is unknown, but minor injury and your genes may make you more likely to develop this condition.
Signs and tests
A physical examination of the palm by touch (palpation) confirms the presence of thickened scar tissue (fibrosis) and contracture. Restriction of motion is common.
Treatment
Exercises, warm water baths, or splints may be helpful.
Expectations (prognosis)
The disorder progresses at an unpredictable rate. Surgical treatment can usually restore normal movement to the fingers. The disease can recur following surgery in some cases.
Review
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Dept of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. – 7/10/2009
