Dupuytren’s Contracture

Dupuytren’s contracture is a hand condition that affects the connective tissue beneath the skin of the palm. Over time, this tissue thickens and forms cords that pull one or more fingers (often the ring or little finger) into a bent position. While often painless, the fingers may not fully straighten, making daily tasks difficult.

What Causes It?
While the exact cause is unknown, several factors are linked to the development of Dupuytren’s contracture:

• Genetics – it often runs in families
• Age – most common over age 50
• Sex – more common in men
• Ancestry – higher rates in people of Northern European descent
• Associated with conditions like diabetes and alcohol use

Signs and Symptoms

• Nodules or lumps in the palm
• Thickened cords of tissue beneath the skin
• Fingers slowly bending toward the palm
• Trouble placing your hand flat on a surface
• Painless but progressive loss of finger extension

How Iowa Ortho Can Help
Treatment depends on the severity of the contracture and how much it limits function. Options include:

• Observation for mild cases
• Needle aponeurotomy – a minimally invasive release
• Collagenase injection to dissolve the cords
• Surgical fasciectomy for more advanced cases

At Iowa Ortho, our hand specialists will determine the best approach based on your hand’s condition and your activity goals.

Regain Control and Flexibility
Although Dupuytren’s contracture can’t be cured completely, treatment can restore hand motion, improve function, and prevent further progression. Early diagnosis is key to maintaining quality of life and hand use.