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Treatment for Dupuytren's contracture

FASCIOTOMY

Our leading hand and wrist consultants can treat Dupuytren's contracture and restore function

About

Dupuytren's contracture is a condition affecting the hand. It can be treated with injected medicine and sometimes surgery. The first symptoms are small, fluid-filled lumps under the skin in the palm of the hand. These contain collagen, a type of protein.

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

  • What happens icon plus

    Dupuytren's syndrome can 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 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 functionThe 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 icon plus

    Your consultant will explain the procedure to you and answer any questions you might have. Both procedures are carried out under local anaesthetic and you'll be treated as a day patient. Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you.
  • Afterwards icon plus

    You may need two more injections if the cord didn’t dissolve first time. A hand therapist will 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.
Consultant in theatres

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Our facilities

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

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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