Dupuytren’s Disease

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What is it?

Dupuytren’s disease is a genetic fibroproliferative disorder affecting the tissue beneath the palm skin. Over time, this tissue thickens and shortens to form cords that pull one or more fingers into flexion, most commonly the ring and little fingers.

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Symptoms and progression

Early nodules may be painless or tender. Progressive cord formation leads to difficulty straightening the fingers and functional impairment with gloves, pockets or handshakes.

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Diagnosis

Diagnosis is clinical, based on examination and the pattern of contracture. Imaging is rarely required.

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Non‑surgical treatment

Mild disease without functional limitation can be monitored. Splints do not reliably prevent progression.

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Surgery – fasciectomy / needle fasciotomy / collagenase

Treatment aims to divide or remove the diseased cords to restore finger extension. Options range from needle fasciotomy or enzyme injection through the skin, to open surgery where cords are excised directly. The choice depends on severity, finger involvement and recurrence risk.

 

Post‑procedure splinting and hand therapy are usually required for weeks to months. Swelling and stiffness are common early. Recurrence remains possible over time. Risks include nerve or vessel injury, wound problems, stiffness and recurrence.

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What does the rehabilitation/recovery involve?

To find out more about rehabilitation and recovery after surgery please see our Rehabilitation Protocols here.

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