Does dupuytren's contacture always progress to the point where surgery is required?

No: Dupuytren's very often requires no treatment if it is mild. There is also an injection available that is very effective in mild to moderate cases.

No: Palmar nodules do not always progress to contracture. Once there is any contracture, treatment should be considered. New non-surgical alternatives include xiaflex (collagenase clostridium histolyticum) and needle aponeurotomy. See a hand surgeon for an evaluation. http://centraljerseyhand.com.

No: Dupuytrens is a hereditary disease where the palmar fascia develops benign scarring. Sometimes this scarring simply creates nontender bumps in the palm and then does not progress. Yet in other patients it may progress to form cords that will cause extension contractures/inability to fully extend the digits - these sometimes require procedures to fix the contractures.

No Dupuytrens may: only wear as firm nodules in the palm of slight cords that do not cause significant contracture. There is no way to predict if one sees a small early nodule, what will happen as time passes. Many have very midl cases and do not need to do anything except be informed of the diagnosis so they do not seek rx for the nodules with surgery see more here http://tiny.cc/yrr9px