How to Recognize Dupuytren's Contracture

Dupuytren's contracture, also called Dupuytren's disease, is a progressive thickening and tightening of the connective tissue in the palm. As it progresses, nodules form and become cords, which eventually pull the fingers into a bent position. Cords typically affect the ring and pinky fingers, but the contracture can develop under any finger. It most commonly occurs in men over age 50, and the cause is unknown. With time, Duputren's disease causes significant contractures of the affected fingers, precluding activities that require straight fingers like shaking hands or reaching into a pocket. A physician must diagnose this condition, but several indicators point to Dupuytren's contracture.

Things You'll Need

• A doctor's referral to a surgeon
• Physical therapy

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Instructions

• 1

  Look at the skin on your palm one inch below the base of your fingers and at the base of your thumb. Early Dupuytren's disease appears as a painless lump or nodule in these areas. Press down firmly over the skin and feel along this area for nodules that are developing under the skin.

• 2

  Monitor the nodule and watch for changes. As Dupuytren's disease progresses, these nodules will dimple and pucker the skin. You might feel some stretching of the skin in this area when you fully straighten your fingers, but the skin is not tender.

• 3

  Place your hand flat on a table top. If you are developing a contracture, the affected fingers will not completely contact its surface. Consult a doctor if the contracture progresses and begins to limit your function. No conservative treatment exists for Dupuytren's contracture; surgical removal of the affected connective tissue is required.