Dupuytren's disease, also known as Dupuytren's contracture, is a condition that affects the connective tissue in the palm of the hand. It causes the fingers to bend towards the palm and can eventually restrict movement.
Here is some information on Dupuytren's disease and the surgery commonly performed to treat it:
Causes: The exact cause of Dupuytren's disease is unknown, but it is believed to have a genetic component. Certain risk factors such as age (typically occurring after the age of 40), gender (more common in men), and family history may increase the likelihood of developing the condition.
Symptoms: The primary symptom of Dupuytren's disease is the development of nodules or lumps in the palm, usually near the base of the finger(s). Over time, these nodules can progress to form thick cords, leading to the fingers being pulled towards the palm. This can result in a loss of finger extension or difficulty with everyday tasks such as grasping objects.
Non-surgical treatments: In the early stages, nonsurgical treatments may be recommended to manage the symptoms of Dupuytren's disease. These treatments include hand therapy exercises, splinting, medication (such as collagenase injections), and ultrasound therapy. However, these methods are generally not effective in stopping the progression of the disease but can provide temporary relief.
Surgical treatment: In cases where the disease or contracture significantly impacts hand function, surgery may be recommended. The goal of surgery is to release or remove the thickened cords that are causing the finger contracture. Various surgical techniques are available, including fasciectomy (removal of the affected tissue) and fasciotomy (partial release of the affected tissue). The choice of procedure depends on the severity and location of the contracture. Surgery is typically performed under local or regional anesthesia, and in some cases, general anesthesia.
Recovery: After surgery, a period of rehabilitation and hand therapy is usually necessary to regain optimal hand function. The hand may be immobilized temporarily with a splint to promote proper healing. Recovery time can vary depending on the extent of surgery and individual healing capabilities.
It is important to consult with a healthcare professional, such as a hand surgeon, for a proper diagnosis and personalized treatment plan. They can assess the severity of the condition and recommend the most appropriate course of action based on the individual's specific situation.
