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The exact causes of Dupuytren’s Contracture are not yet known, although it may be genetically linked. Current research suggests a problem with inflammation in the palm of the hand leading to the formation of thick “scar like” bands. Dupuytren’s contracture, also known as Dupuytren’s disease, refers to the formation of thick “scar like” tissue on the palm extending to any finger. This leads to a contracture of the involved finger, such that the patient cannot extend the finger fully because of the tethering effect of the thick “scar like” tissue located on the palm. Dupuytren’s contracture can involve one or many fingers of the same hand.
Dupuytren's contracture typically progresses slowly, over years. The condition usually begins as a thickening of the skin on the palm of your hand. As it progresses, the skin on your palm might appear puckered or dimpled. A firm lump of tissue can form on your palm. This lump might be sensitive to the touch but usually isn't painful. In later stages of Dupuytren's contracture, cords of tissue form under the skin on your palm and can extend up to your fingers. As these cords tighten, your fingers might be pulled toward your palm, sometimes severely. In most cases, doctors can diagnose Dupuytren's contracture by the look and feel of your hands. Other tests are rarely necessary.
Treatment involves removing or breaking apart the cords that are pulling your fingers toward your palm and this is done through needling , enzyme injections or through surgery.
Dupuytren disease is common in the Ireland with a prevalence of 4%, reflecting immigration from Northern Europe. he incidence of Dupuytren disease for the Irish population in 2004 was calculated at 34.4 per 100,000 for men aged 40-84 years. The effects of morbidity in Dupuytren contracture are generally limited to lifestyle changes. MCP and PIP joint contractures may interfere with activities of daily living and the nodules can be painful. Occasionally, Dupuytren contracture is associated with plantar fascial thickening. No mortality occurs from Dupuytren contracture.