Dupuytren`s Contracture Medical Definition: Causes, Symptoms and Treatment
Dupuytren`s contracture is a hand deformity that causes one or more of the fingers to bend inwards, making it difficult to straighten them. The condition is caused by the thickening and tightening of the fibrous tissue under the skin of the palm and fingers. It is most commonly seen in older men and those of Northern European descent.
Causes
The exact cause of Dupuytren`s contracture is unknown, but it is believed to be triggered by a combination of genetic and environmental factors. Some studies suggest that smoking and alcohol use may increase the risk of developing the condition. Certain medical conditions, such as diabetes and epilepsy, have also been linked to Dupuytren`s contracture.
Symptoms
The symptoms of Dupuytren`s contracture usually develop gradually over time and may initially be mild. Common signs include:
– A thickened band of tissue in the palm of the hand
– Knots or lumps in the palm or fingers
– Difficulty straightening the fingers
– A pulling or tightening sensation in the palm
– Pain and discomfort in the affected hand
Treatment
Treatment for Dupuytren`s contracture varies depending on the severity of the condition. In mild cases, simple stretching exercises may help to improve flexibility and prevent further progression of the deformity. In more advanced cases, surgical intervention may be required.
Surgery for Dupuytren`s contracture typically involves removing the thickened tissue that is causing the fingers to bend. This may be done using a variety of techniques, including open surgery, needle aponeurotomy, and percutaneous fasciotomy. In some cases, a combination of these techniques may be used.
In addition to surgery, other treatments for Dupuytren`s contracture may include:
– Steroid injections to reduce inflammation and pain
– Radiation therapy to slow the progression of the disease
– Collagenase injections to break down the thickened tissue
Conclusion
Dupuytren`s contracture is a hand deformity that can cause significant pain and discomfort. Understanding the causes and symptoms of the condition is important for early detection and treatment. If you are experiencing any of the symptoms associated with Dupuytren`s contracture, it is important to seek medical attention immediately to determine the best course of treatment. With proper care and treatment, it is possible to manage the symptoms of Dupuytren`s contracture and regain hand function.
