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What is Dupuytren’s Contracture?

Dupuytren’s is a condition that develops mainly in men after the age of 50 years. It predominantly affects the ring and little fingers and has a genetic/hereditary component. Excess collagen is formed in the fascia of the palm. Nodules or lumps appear first and then a cord can develop towards the fingers that cause a flexion contracture.

Straightening is affected but flexion is normal. It is generally not a painful condition and sometimes people mistake the nodules for calluses in the early phase of development. There are multiple surgery options available from a simple needle release to excision of the Dupuytren’s and skin grafting.

Therapy is required after surgery/procedure to maintain extension gained with exercises and splinting. You hand therapist can also help with swelling, pain and wound management.

Light use of the hand is encouraged after post-op bandage removal. Thick scarring can occur after Dupuytren’s excision. You hand therapist can show you massage options and provide silicon/compression products to help reduce this.


If you have any questions about Dupuytren’s contracture or would like to book an appointment, please don’t hesitate to get in touch.