A member asked:

What sort of disorder is dupuytren's contracture?

19 doctors weighed in across 7 answers
Dr. F. Thomas Kaplan answered

Specializes in Hand Surgery

Fibroproliferative: Dupuytren's is a benign disease where normal tissue in the palm of the hand becomes diseases. It is a fibroproliferative disease, which means that the tissue becomes more active and there is an increase in the number of cells called fibroblasts. These produce extra collagen tissue which forms bumps or nodules. As the disease progresses, rope-like cords form which draw the fingers towards the palm.

Answered 8/13/2015

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Fibrous tissue: This can be associated with rheumatoid arthritis, alcoholism or usually happens along\e, it is treatable with injection of a fibrous tissue dissolving agent or major surgery of the hand.

Answered 1/26/2018

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Dr. Todd Sisto answered

Specializes in Plastic Surgery

For reasons unknown,: A thickening & shortening of the palm's fascia, that layer just beneath the skin (not involving tendon) to which it imparts toughness & integrity and which has a ridiculous # of named components, some of wh extend into the fingers which can be pulled into an unusable flexed position. At this point, the best option is microscope-controlled removal w skin graft(decreases recurrence fr 50 to ~10%).

Answered 4/25/2015

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Dupuytren's is: The thickening of the palmar fascia that is present on the palm of the hands and surrounds the tendons of the hands that control flexion of the fingers. The tissue around the tendon becomes thicker and over decades can cause a finger not to ba abled to be straightened out. It is seen in patients with diabetes but the cause is unknown. It is most common in people or family from northern europe.

Answered 12/4/2012

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Palmar fascia : There is an unexplaoned spontaneous thickening of the layer of the palm called fasciia. This can lead over time to the fingers, especially ring and pinky, being pulled into the palm where they can't be straightened. If the contractures are bad enough they can be treated. In the past surgery was the main option, there are now other choices.

Answered 1/26/2018

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Fibroproliferative: Dupuytren's contracture is a genetically mediated fibroproliferative disorder, which causes collagen nodules and cords in the hand/fingers. As the disease progresses, the fingers become contracted. It is common for several members of a family to have the disorder, but the severity usually varies. Treatment is with open surgery, needle aponuerotomy, or injection. Recorrence is common.

Answered 7/12/2016

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Dr. Gary Pess answered

Specializes in Hand Surgery

Fibromatosis: A hereditary disease of abnormal increase collagen formation. This primarily affects the hands causing finger contracture. It can also occur on the bottom of the feet (lumps) and cause a crooked penis. New treatments include needle aponeurotomy and xiaflex (collagenase clostridium histolyticum). http://centraljerseyhand.com

Answered 3/5/2015

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