Dupuytrens Disease

The
Hand

Dupuytrens Disease is a condition which affects the tissue just under the skin (the fascia) of the palm of the hand and fingers. The fascia thickens, causing dimpling of the skin and usually presents as a thick nodule or shortened cord in the palm of the hand preventing the fingers from fully straightening.

​The contracture most commonly affects the ring and little fingers and is most prevalent in men, diabetics, smokers, people suffering from seizures and those of northern European descent. There is no known cause for this disease.

This condition tends to slowly worsen and evidence suggests that conservative management including massage, stretches, splinting and ultrasound are ineffective in preventing progression. If the band progress to the point where you are unable to flatten your hand against a flat surface, then surgery is likely to be required to remove the diseased tissue. the procedure is called a fasciectomy.

​Post-operative physiotherapy is necessary to avoid contracture of the scar tissue and also to restore full range of motion to the fingers. This may include exercises and stretches to restore range of motion, and scar massage and silicon products to soften the scar. Splintage may be required to maintain the correction achieved surgically.

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