Dupuytren’s Contracture

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What is Dupuytren’s Disease?

This is an abnormal thickening of the tissue just beneath the skin of the palm and fingers. Over time scarring can draw the fingers toward the palm, causing contracture and impairing hand functioning. It affects men more than women, and is more prevalent and severe in patients of northern European descent.

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Diagnosis of Dupuytren’s Disease

It is time to set an appointment with a hand surgeon when the contracture is affecting your daily functioning. If you cannot put your hand flat on a table, or experience trouble putting your hand into your pants pocket, you could be exhibiting symptoms of this condition. If you think you are suffering from Dupuytren’s Disease, make an appointment to see Dr. Lies so he can perform a thorough clinical examination to determine the extent of your condition.

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Treatment of Dupuytren’s Disease

Various options Dr. Lies will discuss with you regarding treatment for your Dupuytren’s Disease may include:

• Needle Aponeurotomy: This procedure can be performed in our clinic. The area over the diseased cord tissue is numbed up, and a needle is then used as a small fine knife to cut the cord. Once the cord is weakened, Dr. Lies can manipulate the finger to straighten it again. You can use your hand normally after the procedure, but may need to wear a night-time splint for three months.

• Injection: This procedure to weaken cord tissue by injecting medicine into it can be performed in our clinic. You may experience some swelling or redness for a few days, and will then return to Dr. Lies who will manipulate the cord tissue in order to break it and straighten the affected finger again. You can use your hand normally after the procedure, but will wear a night-time splint for three months.

• Fasciectomy: The diseased cord is surgically removed from the hand or finger, while protecting the tendons and nerves. This is the best way to get rid of the abnormal tissue and prevent recurrence.