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Dupuytren's Contracture

Diagnosis, symptoms, and treatment methods.

General Information About Dupuytren's Contracture

Dupuytren's contracture is a progressive hand disorder that occurs when the protective connective tissue (palmar fascia) just beneath the skin in the palm slowly thickens and hardens. Over time, these hard cords cause the fingers (especially the ring and little fingers) to bend inward toward the palm and lock. It is treated with fasciotomy (surgical release) in our Orthopedics and Hand Surgery clinic.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.

It is a condition where the structure of the triangular thin membrane (fascia) beneath the skin of the palm deteriorates, forming nodules (lumps) and thick cords that pull the fingers inward toward the palm.

The exact cause is unknown; however, it has been proven to have a very high genetic predisposition. It is common in individuals of Northern European descent, older men, diabetic patients, and smokers. It is not related to physical labor (manual labor).

It begins with the formation of painless, hard, small lumps in the palm. Over the years, these lumps form bands and prevent the fingers from being placed completely flat on a surface (like a table).

The disease generally progresses without pain. The biggest issue is not pain, but the physical limitation the person experiences when washing their face, wearing gloves, or shaking hands because the fingers remain bent.

A physical examination by a hand surgery specialist is sufficient for diagnosis. The pulling in the palm, the hard cords that have formed, and the loss of angle in the finger joints are clinically easily visible.

Intervention is performed when the bending reaches a level that disrupts daily tasks. The tight cords are broken with a needle, or the hardened tissues (fascia) are completely removed with a surgical operation to release the fingers.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.

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