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Dupuytren's disease

Dupuytren's contracture or Palmar fibromatosis

This disease takes its name from Baron Guillaume Dupuytren, a French surgeon who first described the condition in 1831

What is Dupuytren's disease?

Dupuytren’s disease is a common, painless and benign condition affecting the hands and fingers. The disease causes a progressive deformity resulting in one or more fingers bending into the palm of the hand. It occurs when there is a build-up of thick fibrous tissue in the palm that radiates into the fingers.

Need to know

  • What are the symptoms of Dupuytren's disease? icon plus

    The first symptom you'll notice is usually the growth of nodules (small lumps of tissue) on your hand. Other symptoms include:

    • unusual dimples on your palm
    • a thickening of the skin on your palm
    • tenderness around your palm

    In rare cases, the condition can also affect the toes and soles of your feet.

  • How is Dupuytren's disease diagnosed? icon plus

    If your finger is curling into your palm, your consultant will measure the amount of deformity to determine the severity of the condition. Treatment may be advised based on the amount or site of the contracture. In mild cases, diagnosis may be all that is needed as there is little or no disability.

    No treatment may be recommended since there is a chance the condition won't get any worse. If the condition is more moderate, your consultant may recommend a minor procedure under local anaesthetic. In the most advanced cases, surgery may be recommended.
  • Treatment options for Dupuytren's icon plus

    • Enzyme injections. This involves giving an injection into the cord. Over the next day or two the enzyme dissolves the cord so that the finger can be manipulated straight under local anaesthetic.
    • Surgery.  Some forms of surgery can be performed by your consultant under local anaesthetic, meaning you will be awake. Advanced cases may need more complex surgery under general anaesthetic. 

    In severe cases, open fasciotomy, or fasciectomy, is recommended.

Our hand and wrist consultants

We're proud to work with leading orthopaedic experts who specialise in problems of the hand and wrist, and sports related injuries.
Consultant in theatres

Our locations

From complex hand and wrist surgery to diagnostic tests and procedures, we provide exceptional orthopaedic care across our network of hospitals, outpatient centres and specialist clinics.

  • The Wellington Hospital - South Building

    The Wellington Hospital

    Wellington Place

    London NW8 9LE

    Appointments 020 7483 5148
    General enquiries 020 7586 5959

  • London Bridge Hospital

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments & Enquiries 020 7234 2009
    Imaging Appointments 020 7234 2773

  • The Lister Hospital

    Chelsea Bridge Road

    London

    SW1W 8RH

    Appointments 020 7730 8298
    General enquiries 020 7730 7733

  • The Princess Grace Hospital

    42-52 Nottingham Place

    London W1U 5NY

    Appointments 020 7908 8001
    General enquiries 020 7486 1234

  • The Portland Hospital

    205 - 209 Great Portland Street

    London

    W1W 5AH

    Children's enquiries 020 7390 8020
    Maternity enquiries 020 7390 6068
    Gynaecology enquiries 020 7390 6200

  • HCA UK at The Wilmslow Hospital

    52-54 Alderley Road

    Wilmslow

    SK9 1NY

    Appointments 020 7483 5148
    General enquiries 01615 160 961

  • London Bridge Hospital Facility

    HCA UK at The Shard

    The Shard, 32 St Thomas Street

    London

    SE1 9BS

    Call 020 3131 6888
    Opening hours 7:30 - 20:00 Monday - Friday

  • London-bridge-31-old-broad-street

    31 Old Broad Street

    31 Old Broad Street

    London

    EC2N 1HT

    Call 020 7496 3522

  • Facility-chelsea-outpatient-cenre-hero-579x579

    Chelsea Outpatient Centre

    280 Kings Road

    London SW3 5AW

    Call 020 7881 4114
    Opening times 8am - 8pm

Request a hand and wrist appointment

We're happy to help you make an appointment with one of our experienced hand and wrist consultants. We can also make imaging and outpatient hand therapist appointments for you.

020 7079 4344
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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