Dupuytren's Contracture Care with Andrew Yang, MD

Overview

Dupuytren's contracture affects tissue beneath the skin of the palm. Thickened tissue can form cords that gradually pull one or more fingers toward the palm.

Symptoms

• A firm nodule or cord in the palm
• A finger that gradually bends toward the palm
• Difficulty placing the hand flat or putting on gloves
• Usually little or no pain, though tenderness can occur

Diagnosis and evaluation

Diagnosis is based on examination of the palm, finger position, and hand function. The clinician may measure how far a finger can straighten.

Non-surgical options

• Observation when finger motion is not significantly affected
• Monitoring changes in finger position and daily function
• Hand therapy or splinting may be discussed for comfort and function

Surgical options

• For a contracture that limits hand function, a needle procedure or surgical release may be discussed after evaluation. The choice depends on the cord, finger position, and health factors.

Who may be a candidate

People with a progressive bend, difficulty placing the hand flat, or limits with daily tasks may benefit from an evaluation. Treatment is based on function and degree of contracture.

Recovery timeline

• After a procedure, dressing and motion instructions depend on the approach.
• Hand exercises may be part of recovery.
• Follow-up checks motion and wound healing.
• The condition can recur, and results vary.

Cost and insurance

OrthoMD accepts Medicare, workers' compensation, auto insurance, and most major plans. Coverage varies by plan and service. Call (917) 242-4585 to ask about coverage.

Frequently asked questions