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Dupuytren's Disease

Dupuytren's Disease Treatment

Dupuytren Disease, also known as Dupuytren’s Contracture, is a condition that affects the connective tissue in the hand, causing the fingers to bend towards the palm. The condition is caused by the thickening and shortening of the tissue in the palm of the hand, known as the palmar fascia.

The exact cause of Dupuytren Disease is unknown, but it is thought to be related to a combination of genetic and environmental factors.

Risk factors for Dupuytren’s Disease:

  • Age: The risk of developing Dupuytren Disease increases with age.
  • Gender: Men are more likely to develop the condition than women.
  • Family history: Dupuytren Disease tends to run in families.
  • Smoking: Smokers are at a higher risk of developing the condition.
  • Alcohol consumption: Excessive alcohol consumption may be a risk factor for the development of Dupuytren Disease.

Symptoms of Dupuytren’s Disease:

  • Thickened or raised nodules on the palm of the hand
  • A feeling of tightness or aching in the hand
  • Finger contracture or bending of the fingers towards the palm
  • Difficulty placing the hand flat on a surface

If left untreated, the condition can lead to significant loss of function in the affected hand.

Treatment for Dupuytren’s Disease

  • Observation: In mild cases, the condition may not require treatment.
  • Physical therapy: Physical therapy may be used to help maintain range of motion and prevent contracture.
  • Needling/Needle aponeurotomy: A procedure where a needle is inserted into the cord to break it and release the contracture.
  • Surgery: Surgery may be required if the contracture is severe and affects the patient’s ability to perform daily activities.

It’s important to consult with a qualified hand surgeon or specialist if you suspect you may have Dupuytren Disease. They can provide a proper diagnosis and recommend the best course of treatment for your individual needs.

FAQs

Why does Dupuytren's disease occur?

In addition to hereditary predisposition (family history), external factors (diabetes, alcohol, injury) are discussed as triggers.

What changes are there at Dupuytren?

In the layer between the skin and the flexor tendons, nodular changes form, which later flow together to form strands. Usually there is no pain. A “trigger-finger” can develop as an early symptom. As the disease progresses, these growths spread further and the fingers become crooked and can no longer be fully extended.

What are the consequences of congenital malformations in the hand area for us?

Problems typically arise when putting on gloves. The hand can no longer be put in the trouser pocket without problems. Dupuytren’s disease can progression over months and years, so over time, even simple activities become problematic.

How can you treat M. Dupuytren?

Depending on the functional impairment and the general condition of the patient, there are several treatment options:

  • Radiation therapy can significantly reduce the activity of Dupuytren’s muscle in many patients (→ Radiotherapy)
  • The indication for surgical therapy is:
    • Impairment of finger mobility in the sense of a snap-finger phenomenon (“early symptoms of M. Dupuytren”)
    • Formation of a completely continuous strand

Related Treatments:

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