DUPUYTREN'S DISEASE

Dupuytren’s disease is an abnormal thickening and shrinking of the tissue beneath the skin of the palm of the hand. This condition is thought to be hereditary and is more frequent in people with Northern European ancestry. It can cause lumps or dimples in the skin surface, limit movement of the fingers and draw the fingers towards the palm in a permanently contracted position. Dupuytren’s disease is usually painless, but in severe cases can make everyday activities difficult or impossible.

The disease is diagnosed following a physical examination and discussion of medical history. It is usually evident as a small lump in the palm, located near the base of the ring and little fingers. Over time, a thick, fibrous cord may become noticeable between the palm and the fingers. Most patients seek medical treatment for Dupuytren’s disease when the palm can no longer lay flat on an even surface.

While there is no known cure for Dupuytren’s disease, surgery is typically the most effective treatment option. The goal of surgery is to release the contracture and restore the use of the fingers and hand. Even with successful surgery, thickened palm tissue may redevelop and additional procedures may be necessary.

Here are some patients that have had needle aponeurotomy with their before and after results:

Dupuytren’s contracture-after local anesthesia has been given.
Dupuytren’s contracture: immediately after needle aponeurotomy (NA)