Dupuytren Contracture or Morbus Dupuytren, Palmar Fibromatosis or Dupuytren’s disease is a thriving and inherited connective tissue which interferes with the straightening and bending of the fingers. A working knowledge on Dupuytren contracture symptoms and treatment is required for patients to get through the condition with less hassle.
Affected areas generally include the pinky and ring finger. As the condition becomes worse, it would only be matter of time before it includes the middle finger. The condition deteriorates slowly in a usually painless manner. A patient with Dupuytren finger will observe the palmar fascia thicken, then tendons thicken and the alterations in the movements of the fingers.
This condition has a greater chance of manifesting in men nearing age 40. But at the age of 80, both female and male will have a similar chance of getting Dupuytren Contracture.
The cause of the disease hasn’t been discovered yet. Recent studies revealed that these conditions could be linked to autoimmune reactions. Such reactions cause an individual’s autoimmune system to ravage its own tissues and gradually attack other parts of the body like the genitals and feet. It’s hard to figure out the symptoms since the disease develops slowly and painlessly. But some of the symptoms you can detect include the following:
At the start of the disease, you will observe a thickening on your palm’s skin. As the disease develops, the skin over your palm will appear dimpled and wrinkled. You will observe a hard lump of tissue growing on the palm which may react to touch although generally painless.
As the disease worsens, the tissues beneath the skin will bend slowly towards the fingers and slowly tighten up. For serious cases, the fingers can be pulled towards the palms and make it hard for you to keep them straight.
In majority of cases, the pinky and ring finger are the ones that are commonly affected. It is only a rare occasion when the index finger and thumb are affected. For 45% of the cases, Dupuytren’s contracture affects both hands but one hand would appear more affected than the other. The disease affects the soles and toes only on rare occasions.
For severe cases, the condition may give both you and your family some problems. It will be hard for you to do the simplest tasks. It is even more difficult for you to shake someone else’s hand.
Should you observe these symptoms, it is best to seek medical support and obtain the advice of a physician so that treatment can be administered as soon as possible.
Treatment for Dupuytren’s Contracture
Treatment for the disease is administered to revive the affected hand in the best way possible. Treatment would consist of:
Surgery is advised for contractures that limit the functionality of one’s hand. Surgery will entail the opening of the skin on affected areas and operating on the fibrous tissue. Your first surgery may not be enough and another surgery may be needed if the condition recurs.