Dupuytren's contracture

About Dupuytren's contracture

Dupuytren's contracture mainly affects the ring and little fingers. You can have it in both hands at the same time.

It tends to get slowly worse over many months or years. Treatment can't usually help in the early stages.

It starts with lumps, dimples or ridges on your palm. Eventually, your finger may get stuck in a bent position.

 It does not usually cause pain, but some people with the condition do experience pain.

There are other conditions that can have similar symptoms.

These include:

• ganglion – can cause small, soft lump on the wrist or finger joints
• calluses – can cause hard, raised, rough skin on the palms
• trigger finger – can cause finger "catching" or getting stuck when you move it

When to see your GP

You should see your GP if one or more of your fingers are bent and:

• you can't put your hand down flat
• you're having difficulty with daily activities

You'll probably be offered treatment. Your GP may refer you to a surgeon to discuss your options.

Treatments for Dupuytren's contracture

If you have been referred and diagnosed with Dupuytren's contracture, you can speak to  the surgeon about the treatment options, what the benefits and risks are, and what to expect afterwards.

Your finger may not be completely straight after treatment and might not be as strong and flexible as it used to be.

The contracture could also come back after a few years.

There are three main types of treatment.

They are:

• surgery to straighten the fingers
• injections of medicine into the hand
• using a needle to straighten the fingers

What to expect after treatment

Recovery and aftercare can vary.

You may:

• have a cast or support (splint) on your hand for a few days
• have some pain, stiffness, bruising and swelling for a few weeks
• need to wear a splint while sleeping for 3 to 6 months
• be advised to do hand exercises for up to 6 months – you may be referred for physiotherapy

You can often start using your hand again after a few days. But it may be a few weeks before you can return to all your activities.

Causes and preventing Dupuytren's contracture

Dupuytren's contracture happens when the tissue under the skin near your fingers becomes thicker and less flexible.

The exact cause is unknown, but it's been linked to:

• having a family history of the condition
• smoking
• drinking lots of alcohol
• having diabetes or epilepsy

It's not known if you can prevent it or stop it coming back.

• Find out more about Dupuytren's contracture on the NHS website

More useful links

• How to use your health services
• British Dupuytren's Society