Dupuytrens Contracture

Dupuytren's contracture is a disorder of the fibrous tissue on the palm side of the hand. Thick, scar-like tissue forms under the skin of the palm and may extend into the fingers, pulling them toward the palm and restricting motion. Usually developing in midlife, the condition has a tendency to run in families and is most common in patients whose heritage extends back to Northern and Eastern Europe, Great Britain and Scandinavia.

The Center for Plastic and Reconstructive Surgery offers a full range of surgical procedures for Dupuytren's contracture. Surgeons use leading-edge technology and world-class surgical techniques.

Treatment

Surgery is the only treatment for Dupuytren's contracture. The surgeon cuts and separates the bands of thickened tissue, freeing the tendons and allowing better finger movement. The operation must be performed very precisely, since the nerves that supply the hand and fingers are often tightly bound up in the abnormal tissue. In some cases, skin grafts are also needed to replace tightened and puckered skin.

The results of the surgery will depend on the severity of the condition. Residual or recurrent contracture of the middle joints of the fingers is often experienced. However, one can usually expect significant improvement in function after surgery.