As it progresses, the skin on your palm might appear puckered or dimpled. These nodules can make it extremely difficult for your fingers to straighten, and over time the condition can worsen where the fingers will become permanently bent towards the palm. Speak to a surgeon about the options, what the benefits and risks are, and what to expect afterwards. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Accessed Aug. 9, 2015. American Academy of Orthopaedic Surgeons. In the initial phase, the disease may present as thickening of the skin of your palm. 2007;76:86. protecting your hands by using gloves. A Dupuytren's contracture usually progresses slowly over several years. Furthermore, signs and symptoms of Dupuytren's contracture may vary on an individual basis for each patient. The ring and small fingers are most commonly involved. A cut is made along your palm and finger so the surgeon can straighten it. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter — Digital Edition, FREE book offer – Mayo Clinic Health Letter. There is no cure but it can be treated. Accessed Aug. 10, 2015. The symptoms are often mild and can be painless and may not require treatment. You'll probably be offered treatment. Dupuytren’s contracture could occur on one hand or on the both the two hands, which is termed as unilateral or bilateral. Typically, the symptoms of dupuytren’s contracture develop gradually. Treatment can't usually help in the early stages. American Society for Surgery of the Hand. When a patient complains about Dupuytren’s Contracture symptoms, doctors will run a series of tests that require grasping or pinching items, feeling each of the fingers, and conduct a thorough examination of the hands. Dupuytren’s disease (also referred to as Dupuytren's contracture) is a common condition that usually arises in middle age or later and is more common in men than women. As it progresses, the skin on your palm might appear puckered or dimpled. The two fingers farthest from the thumb are most commonly affected, though the middle finger also can be involved. Your GP may refer you to a surgeon to discuss your options. Accessed Aug. 9, 2015. Mayo Clinic, Rochester, Minn. Aug. 13, 2015. You can often start using your hand again after a few days, but it may be a few weeks before you can return to all your activities. As these cords tighten, your fingers might be pulled toward your palm, sometimes severely. You may: have a cast or support (splint) on your hand for a few days have some pain, stiffness, bruising and swelling for a few weeks need to wear a splint while sleeping for 3 to 6 months be advised to do hand exercises for up to 6 months – you might see a physiotherapist What are the signs and symptoms of Dupuytren's contracture? Most cases occur in middle-aged or older people; however, it sometimes develops in younger adults. Close menu. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Dupuytren's contracture. The first symptom of Dupuytren’s many times is a lump or nodule that may reach up to a centimetre across. That nodule will cause a pull on the finger; this pull will cause the finger to bend in towards the palm. The affected fingers can't be straightened completely, which can complicate everyday activities such as placing your hands in your pockets, putting on gloves or shaking hands. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Excess growth of skin tissue and collagen under the palm forces the fingers to bend inward and remain in that position. Dupuytren's contracture mainly affects the two fingers farthest from the thumb, and occurs most often in older men of Northern European descent. Dupuytren's contracture happens when the tissue under the skin near your fingers becomes thicker and less flexible. The symptoms of Dupuytren’s contracture can develop and significantly worsen over time, negatively impacting both your work and private life. The main symptoms of dupuytren’s contracture are the presence of hard band tissue in your finger and the inability of your finger to extend. What are the symptoms of Dupuytren’s? Dupuytren's contracture is when 1 or more fingers bend in towards your palm. Symptoms of Dupuytren’s contracture Dupuytren's contracture often begins with swellings in the palm, stiffness, and an inability to straighten the fingers. Some things you can do at home to ease your pain and other symptoms include: stretching your fingers away from your palm. The condition will usually start out as a lump or nodule in the palm of the hand. Dupuytren’s contracture – Causes, symptoms, and treatment Dupuytren’s contracture is a hand deformity that develops over several years. Advertising revenue supports our not-for-profit mission. The condition affects a layer of tissue that lies under the skin of your palm. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). The earliest sign of a contracture is a triangular "puckering" of the skin of the palm as it passes over the flexor tendon just before the flexor crease of the finger, at the metacarpophalangeal (MCP) joint. Dupuytren's contracture is a condition which can affect workers, particularly those in manual labour jobs who may be prone to over-use of their hands. https://www.alamy.com/stock-image-dupuytrens-contracture-deformity-a-cord-in-the-palm-of-hand-with-a-165489889.html?pv=1&stamp=2&imageid=D3ADDB6C-74D5-4573-B28B-52B249349BA1&p=66803&n=0&orientation=0&pn=1&searchtype=0&IsFromSearch=1&srch=foo%3dbar%26st%3d0%26pn%3d1%26ps%3d100%26sortby%3d2%26resultview%3dsortbyPopular%26npgs%3d0%26qt%3dKH6M15%26qt_raw%3dKH6M15%26lic%3d3%26mr%3d0%26pr%3d0%26ot%3d0%26creative%3d%26ag%3d0%26hc%3d0%26pc%3d%26blackwhite%3d%26cutout%3d%26tbar%3d1%26et%3d0x000000000000000000000%26vp%3d0%26loc%3d0%26imgt%3d0%26dtfr%3d%26dtto%3d%26size%3d0xFF%26archive%3d1%26groupid%3d%26pseudoid%3d387440%26a%3d%26cdid%3d%26cdsrt%3d%26name%3d%26qn%3d%26apalib%3d%26apalic%3d%26lightbox%3d%26gname%3d%26gtype%3d%26xstx%3d0%26simid%3d%26saveQry%3d%26editorial%3d1%26nu%3d%26t%3d%26edoptin%3d%26customgeoip%3d%26cap%3d1%26cbstore%3d1%26vd%3d0%26lb%3d%26fi%3d2%26edrf%3d0%26ispremium%3d1%26flip%3d0%26pl%3d, https://www.sciencephoto.com/media/711930/view. 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