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Dupuytren’s Contracture

Dupuytren’s contracture is a condition when an abnormal thickening of connective tissue causes one or more fingers bend in towards the palm of your hand. There’s no cure, but a number of treatments are available to significantly lessen tension and promote hand movement.

Causes

This progressive condition causes an abnormal thickening of the connective tissue (palmar fascia) that holds the skin firmly to tendons and bones.

The exact cause is unknown but there is evidence of a genetic link so it can run in families. Other factors such as diabetes, smoking, and medications may have an influence.

Most cases occur from 50-years-old and there is no cure.

Symptoms

The skin and fingers become tightened and one or more fingers slowly bend towards the palm of the hand. Nodules are formed under the skin of the hand and they can extend to form cords of tissue. You may also notice unusual dimples on your palm and a thickening and tenderness of the skin around the palm.

Bands of contracted tissue can form in the hand over months or years making it difficult to straighten the fingers. Over time they may be pulled into a permanently bent position.

Diagnosis

A GP will be able to spot the nodules in the hand but the condition affects people differently so it is important to understand the impact from a mild to major deformity. Consultants will advise on the choice of medication or procedure.

Treatment

Most cases are mild and no treatment is required. Non-surgical radiation therapy and injections with collagenase work to weaken the cord structures and alleviate symptoms

A minor day surgery procedure – needle fasciotomy – can be used to manipulate and weaken the contracted cords using the point of a needle.

In more advanced cases, surgical techniques can be used to restore hand function. The two main approaches are open fasciotomy, where the shortened connective tissue is cut to relieve tension or a fasciotomy were the tissue is removed. Surgery may not always successfully remove the contracture but it will significantly lessen the tension and promote hand movement.

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Our Hospital is renowned for providing exemplary levels of care across more than 90 services. From orthopaedics, to urology, our private GP practice and Urgent Care Clinic, our services are led by some of London’s leading Consultants. For more information, and to find a service suitable for your care, find out more about the services that we offer.

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If you have any questions relating to treatment options or pricing information, get in touch with us by filling out one of our contact boxes or giving us a call on 0207 078 3887.

Our Appointments Team have a dedicated and caring approach to finding you the earliest appointment possible with the best specialist.

If you are self-paying you don’t need a referral from your GP for a consultation. You can simply refer yourself* and book an appointment.

If you have health insurance (e.g. Bupa, Axa Health, Aviva), you will need to contact your insurer to get authorisation before any treatment, and in most cases you will also require a referral letter from your GP.

If you are not registered with a GP, we have an in-house private GP practice you can use. Alternatively, we can suggest the most appropriate course of action for you to take, given your location and individual circumstances.

*Please note – for investigations such as X-rays and MRIs, a referral will be required. However, we may be able to arrange this for you through our on-site private GP.

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