Dupuytren’s Syndrome: Causes, Symptoms, and Treatment
Dupuytren’s syndrome is a condition that affects the tissue under the skin of the palm and fingers. Over time, this tissue thickens and tightens, causing one or more fingers to bend toward the palm and making it difficult to fully straighten them.
Dupuytren’s syndrome usually develops slowly and is not caused by an injury.
What Is Dupuytren’s Syndrome?
Dupuytren’s syndrome occurs when the connective tissue in the palm becomes thick and forms tight bands called cords. These cords pull the fingers inward, most often affecting the ring and small fingers.
The condition is not painful for most people, but it can limit hand movement and function.
What Causes Dupuytren’s Syndrome?
The exact cause is not known, but certain factors increase the risk.
Risk factors include:
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Family history
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Age over 50
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Male gender
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Diabetes
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Smoking or alcohol use
Dupuytren’s syndrome is more common in people of Northern European descent.
Symptoms of Dupuytren’s Syndrome
Symptoms usually develop gradually.
Common symptoms include:
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Thick lumps or nodules in the palm
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Tight cords under the skin
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Fingers bending toward the palm
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Difficulty placing the hand flat on a surface
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Trouble gripping objects
The condition often affects both hands over time.
How Is Dupuytren’s Syndrome Diagnosed?
An orthopaedic specialist can diagnose Dupuytren’s syndrome with a physical exam. Special tests, such as the tabletop test, may be used to check finger movement.
Imaging is usually not needed.
Orthopaedic Treatment Options
Treatment depends on how much the condition affects hand function.
Non-Surgical Treatment
Early or mild cases may not require treatment right away.
Non-surgical options include:
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Observation and monitoring
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Stretching and hand exercises
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Injection treatments to soften cords
Surgical Treatment
Surgery may be recommended if finger bending limits daily activities.
Surgical options focus on removing or releasing the thickened tissue to improve finger movement.
Recovery After Treatment
Recovery time depends on the type of treatment used. Hand therapy is often recommended to improve strength and motion.
Most patients experience improved hand function after treatment.
When Should You See an Orthopaedic Specialist?
You should see an orthopaedic specialist if:
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Fingers continue to bend toward the palm
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Hand function becomes limited
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Daily tasks are difficult
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The condition worsens over time
Early care can help prevent severe contractures.
Expert Orthopaedic Hand Care at OIBortho
At OIBortho, our specialists provide expert orthopaedic care for Dupuytren’s syndrome. We focus on accurate diagnosis, personalized treatment plans, and restoring hand function.
Contact OIBortho today to schedule an evaluation with our orthopaedic team by calling 732-800-9000 or scheduling an appointment online 24/7 for your convenience!
Frequently Asked Questions (FAQs)
Is Dupuytren’s syndrome painful?
Most people do not experience pain, but stiffness and limited movement are common.
Can Dupuytren’s syndrome be cured?
There is no cure, but treatment can improve finger movement and hand function.
Does Dupuytren’s syndrome go away on its own?
No. It usually progresses slowly over time.
When is surgery needed for Dupuytren’s syndrome?
Surgery is considered when finger bending interferes with daily activities.
Can Dupuytren’s syndrome come back after treatment?
Yes. Recurrence is possible, even after surgery