Dupuytren’s Contracture is a condition that affects hands in which connective tissue is replaced by contractile tissue. Because the fingers are contracted into the palm, this makes it impossible to extend them. The cause of Dupuytren’s Contracture is not known.
The classic treatment for the condition is open surgery to help break up the cord and extend the fingers. The good news is that 2 new treatments have developed in last 5-10 years. These include enzyme injections and needling to help passively extend the fingers.
Enzyme injection – enzyme injected into cord in the palm to help soften and weaken the cord the patient returns to th eoffice the next day and physician is able to passively extend finger to make it straight
Needling – This is an in office procedure that involves the use of needles moving in an up and down fashion, similar to a needle on a sewing machine, to help divide the cords. This allows the fingers to be extended straight and can help avoid surgery.
It is important to note that the underlying condition still exists and contraction can re–occur.
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