Understanding Dupuytren’s Contracture
What patients commonly notice
Thickened tissue in the palm can gradually draw one or more fingers into a bent position. The exact pattern and severity can vary, so a clinical assessment is important before deciding on treatment.
Common symptoms
- Firm nodules or cords in the palm
- Progressive inability to straighten a finger
- Difficulty placing the hand flat or performing everyday tasks
Causes and risk factors
There may be more than one contributing factor. Common possibilities include:
- A strong genetic tendency
- Increasing age and male sex
- Associations with diabetes, smoking and alcohol use
How is dupuytren’s contracture assessed?
Assessment may include hand strength, sensation, dexterity, tendon movement and joint stability. X-rays, ultrasound, MRI or nerve-conduction studies are selected according to the suspected problem.
Treatment options
Treatment is matched to the diagnosis, symptom severity, general health and the activities you need to return to. Options may include:
- Observation while function remains good
- Needle or enzyme-based treatment in selected settings
- Surgical fasciectomy when contracture affects function
Surgery is not automatically the first step. When it is considered, the likely benefit, alternatives and recovery requirements should be discussed clearly.
Common questions
Is Dupuytren’s contracture a type of cancer?
No. It is a benign thickening of tissue in the palm. It can form nodules and cords that gradually pull one or more fingers into a bent position.
Will stretching stop Dupuytren’s from progressing?
Stretching has not been shown to reliably prevent progression and forceful stretching may irritate the hand. Early nodules can often be observed until function becomes limited.
When should Dupuytren’s contracture be treated?
Treatment is considered when the contracture interferes with hand function, such as placing the palm flat or getting the hand into a pocket. The best option depends on the joints and cords involved.
This page provides general patient information and does not replace a consultation or personalised medical advice.