Dupuytren contracture, also known as Dupuytren disease is a condition that results in gradual and progressive thickening and shorting of tissue under the skin on the palm (the palmar fascia) and can affect how the fingers move. It can involve both hands, and usually affects the fourth and fifth fingers (the ring finger and little finger).
Why does Dupuytren contracture occur?
The cause is unknown, but it is connected to genetics. The nodules or lumps on the palm, cords under the skin and flexion contracture are the commonly observed symptoms.
Males are three times more likely to develop the condition and it is generally more severe in males
Prior hand trauma
Manual labour with vibration tools
Alcoholism
Smoking
Diabetes mellitus
High levels of fats in the blood
Peyronie’s disease (a form of ED)
How do you diagnose Dupuytren contracture?
Firstly, we assess the signs and symptoms. A Musculoskeletal (MSK) Ultrasound may detect thickening of tissue under the skin on the palm (the palmar fascia) and the presence of nodules. Our specialists provide a fast diagnosis and easy access to appointments.
Recommended treatments for Dupuytren contracture
Extracorporeal shockwave therapy (non-invasive and preferred method of treatment)
Steroid injections
Medication
Radiotherapy to slow disease progression
Fasciectomy – removal of the fascia / Surgical removal
Physiotherapy
Shockwave therapy uses energy in the form of sound waves to cause an inflammatory response in the area being treated. This inflammatory response leads to cellular regeneration, new blood vessels, a reduction in stiffness and tightness, and the breakdown of fibrous tissue, like in the case of Dupuytren’s Contracture.
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