Dupuytren’s Contracture Treated in Louisville, KY

Dupuytren’s contracture is a hand condition that usually develops gradually over many years. As the normally pliant layer of connective tissue (fascia) under the palm slowly stiffens and hardens, a thick cord may form, eventually pulling one or more fingers up into a permanently bent position. Although some experts believe there may be a genetic link, the precise causes of Dupuytren’s contracture are unknown.

What Are the Signs of Dupuytren’s Contracture?

Dupuytren’s contracture can sometimes be painful or itchy; however, the majority of patients do not experience this type of discomfort. Instead, the most common symptoms are:

• Skin dimpling or puckering on the palm
• Small, firm lumps on the palm
• Difficulty opening the hand
• Difficulty grasping large objects
• Difficulty getting the hand into narrow spaces
• Difficulty straightening a finger

Dupuytren’s contracture can develop in one or both hands. The two fingers farthest from the thumb are most frequently affected. In many cases, the symptoms first become apparent after age 50.

How Is Dupuytren’s Contracture Treated?

Unless the symptoms are painful or limiting, treatment is usually unnecessary. To monitor the progression of Dupuytren’s contracture, a physician may suggest periodically performing a tabletop test, which involves attempting to place the hand and fingers flat on a table.

When necessary, Dupuytren’s contracture can be treated with enzyme injections, needling, or, in severe cases, surgery. The goal is to break up or soften the fibrous tissue cords that are pulling the fingers upward.

Receive Specialized Care in Louisville

The experienced team at Louisville Orthopaedic Clinic in Louisville, Kentucky, welcomes individuals who are experiencing symptoms of Dupuytren’s contracture or nonspecific hand pain. Our hand specialist, Nicholas Foeger, M.D., is a fellowship-trained and board-eligible orthopedic surgeon who specializes in diagnosing and treating Dupuytren’s contracture and other complex hand conditions. Dr. Foeger excels in microsurgical techniques and remains engaged in orthopedic research to continually facilitate breakthroughs in patient care.

To request an appointment with Dr. Foeger at our state-of-the-art orthopedic center in Louisville, KY, contact Louisville Orthopaedic Clinic today.