Treatment for Dupuytren's contracture
Treatment for palmar fibromatosis
Our leading hand and wrist consultants can treat Dupuytren's contracture and restore function
What is Dupuytren's contracture?
As the protein builds, a rope-like cord develops and stretches from the palm to a finger. As the cord tightens, it becomes harder to extend the finger and it loses function. The ring and little fingers are most often affected.
Need to know
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What treatments are available for Dupuytren's contracture? icon plus
Dupuytren's disease can often be treated with enzyme injections. This is injected directly into the cord to help dissolve it. The cord should break down in 72 hours. Your doctor will then extend the finger to break the cord under local anaesthetic.
Needle fasciotomy (or fasciectomy) is another option. Here, a needle is inserted into your palm to cut the collagen cord. This will release your fingers and help to restore function. The procedure is carried out under local anaesthetic. In severe cases, open fasciotomy is recommended. Here, a surgical blade is used to cut the cord in several places, to ensure finger release. -
How to prepare for your procedure icon plus
Your consultant will explain the procedure to you and answer any questions you might have. Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you. -
After your procedure icon plus
You may need two more injections if the cord didn’t dissolve first time. Our hand therapy team will work with you to help you regain movement in your finger. Needle fasciotomies are usually successful procedures. However, there has been reported return of Dupuytren's contracture after three years in around 60% of people. In this case, your consultant may suggest surgery.
Our hand and wrist consultants
Our locations
From complex hand and wrist surgery to tests and hand therapy, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.
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The Wellington Hospital
Wellington Place
St John's Wood
London NW8 9LE
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London Bridge Hospital
27 Tooley Street
London
SE1 2PR
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The Lister Hospital
Chelsea Bridge Road
London
SW1W 8RH
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The Princess Grace Hospital
42-52 Nottingham Place
London W1U 5NY
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The Portland Hospital
205 - 209 Great Portland Street
London W1W 5AH
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HCA UK at The Wilmslow Hospital
52-54 Alderley Road
Wilmslow
Cheshire SK9 1NY
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London Hand and Wrist Unit
Lodge Road
London NW8 7JA
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Institute of Sport Exercise and Health (ISEH)
170 Tottenham Court Road
London
W1T 7HA
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Outpatients and Diagnostics at 30 Devonshire Street
30 Devonshire Street
London W1G 6PU
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.