At Slocum Center, our orthopedic surgeons are experts in treating Dupuytren’s contracture. Providing specialized hand care for more than forty years, the doctors at Slocum Center for Orthopedics & Sports Medicine are dedicated to helping you regain your hand function without pain.
Dupuytren's disease, an abnormal thickening of the fascia (the tissue just beneath the skin of the palm), often starts with firm lumps in the palm. In some patients, firm cords will develop beneath the skin, stretching from the palm into the fingers and gradually causing the fingers to bend into the palm.
The cause of Dupuytren's disease is unknown, but may be associated with certain biochemical factors within the involved fascia. The problem is more common in men over age 40 and in people of northern European descent. There is no proven evidence that hand injuries or specific occupational exposures lead to a higher risk of developing Dupuytren's disease.
This condition becomes more common after the age of 40, and men are affected more often than women. Risk factors include alcoholism, epilepsy, pulmonary tuberculosis, diabetes, and liver disease.
The presence of a lump in the palm does not mean that surgery is required or that the disease will progress. For nodules and cords that are not contracted, your surgeon will likely recommend close observation.
Patients with more advanced contractures may require nonsurgical or surgical treatment to improve function. Various treatment techniques may be used depending on the stage of the disease and the joints involved.
XIAFLEX treatment is a new, nonsurgical treatment method that allows patients to feel relief much more quickly than they would with a traditional incision surgery. An injection that “melts” the Dupuytren’s cords away, XIAFLEX is successful is restoring patients’ hand function and mobility.
The following hand doctors provide XIAFLEX treatment: