Dupuytren's disease

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Morbus dupuytren fcm.jpg

A condition that deforms the hand, causing fingers to curl toward the palm.

Other names[edit | edit source]

Dupuytren's contracture

Cause[edit | edit source]

The cause is unknown.

Risk factors[edit | edit source]

Family history, alcohol use, diabetes, and smoking are described.

Epidemiology[edit | edit source]

The condition is more common after age 40.

Dupuytren's disease of the right palmar region
Dupuytren's disease of the right palmar region

Sex differences[edit | edit source]

Men are affected more often than women.

Symptoms[edit | edit source]

The ring finger is affected most often, followed by the little, middle, and index fingers.

Progression[edit | edit source]

It starts as a nodule or lump which thickens in to a band, which causes difficulty to extend fingers over time.

Diagnosis[edit | edit source]

Diagnosis can usually be made from the typical signs of the condition.

Treatment[edit | edit source]

  • Treatment involves corticosteroid courses
  • Collagenase injected into the thickened tissue to break it down and has been shown to be just as effective as surgery.
  • Surgery may be done to remove the affected tissue.
  • A procedure called aponeurotomy which involves inserting a small needle into the affected area to divide and cut the thickened bands of tissue.
  • Radiation is another treatment option for mild cases of contracture, when the tissue is not so thick.
  • Radiation therapy may stop or slow down thickening of the tissue. It is usually done only one time.

ICD codes[edit | edit source]


Dupuytren's disease Resources
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