CORONAVIRUS 2019 (COVID-19)
Important information about Coronavirus 2019 (COVID-19): LEARN MORE

Upstate Orthopedics

Main Number: (315) 464-4472
  • Upstate OrthopedicsHome
  • Facebook
  • Academics & Research
  • News
  • Contact Us
  • Hand Fellowship
  • Spine Fellowship
  • Online Bill Pay
  • Join Our Team
  • Request an Appointment Request Appointment
  • Pre-Check In Appointment Pre-Check In
  • I'm Here I'm Here (315) 464-5200
  • Home
  • About Us
  • Our Providers
  • Specialties
    • Adult Spine Reconstruction/Care
    • Foot & Ankle
    • General Orthopedics
    • Hand & Wrist
    • Hip & Knee
    • Joint Replacement/Reconstruction
    • Trauma
    • Orthopedic Oncology
    • Pediatric Orthopedics
    • Shoulder & Elbow
    • Sports Medicine
  • Same-Day Programs
    • OrthoNOW!
    • Sports Medicine Walk-In Clinic
    • Same-Day Appointment Availability
  • Advanced Services
    • Ambulatory Surgery
    • Arthroscopy
    • Cartilage Restoration
    • Diagnostic Imaging
    • Extracorporeal Shockwave Therapy
    • Injection Therapy
    • MAKOplasty Robotic Surgery
    • Microsurgery
    • Onsite Durable Medical Equipment
    • PRP Therapy
  • Locations
    • Bone & Joint Center
    • Township 5
  • Patient Stories
  • Patient Information
  • Contact Us
  • Press Releases

Dupuytren's Disease

  • Introduction
  • Anatomy
  • Causes
  • Symptoms
  • Diagnosis
  • Treatment
  • Surgery
  • Recovery

Introduction

Dupuytren’s disease causes an abnormal thickening of the tissues located underneath the skin in the palm of the hand. As the tissue thickens it can form lumps and strong cords. The abnormal growth causes the fingers to bend in towards the palm of the hand.  Severe symptoms can cause contractures and loss of hand function. Dupuytren’s disease generally progresses slowly, but progression is unpredictable.
Back to top

Anatomy

The palm of your hand contains ligaments and tendons.  Ligaments are strong bands of tissues that connect your bones together.  Tendons attach muscles to bone.  The tendons in the palm of your hand flex or bend your fingers inward.  Your ligaments and tendons are covered and kept in place by the palmar fascia, a thin sheet of connective tissue.  The palmar fascia is located just beneath your skin.
Back to top

Causes

The cause of Dupuytren’s disease is unknown.  It may be associated with abnormal biochemical processes in the palmar fascia.  It is more common in people of Northern European descent.  It occurs more frequently in men than in women.  Dupuytren’s disease is rare among young people and more common in people over 40 years old.  If it occurs in young people, the condition tends to be very severe and quickly progressing.
 
Smoking and drinking alcohol increase the risk of Dupuytren’s disease.  Certain medical conditions are associated with an increased risk of Dupuytren’s disease.  Such conditions include diabetes, thyroid problems, epilepsy, pulmonary tuberculosis, and liver disease.
Back to top

Symptoms

The onset of Dupuytren’s disease is very slow.  Both hands may be affected but usually one hand is more affected than the other.  You may notice a small tender lump in the palm of your hand.  The tenderness will go away as Dupuytren’s disease typically is not painful.  Over time, tough cords may form beneath your skin.  The thickened tissue may cause your fingers to bend inward toward your palm.  Your ring finger and little finger are affected most often.  You may have difficulty straightening your fingers. 
 
The progression of Dupuytren’s disease is unpredictable.  For some, the condition may consist of a lump or thickening of the tissue.  Other people may experience severe symptoms, including contractures and loss of hand function.
Back to top

Diagnosis

Your doctor can diagnose Dupuytren’s disease by examining your hand.  You should tell your doctor about any symptoms and if they restrict the use of your hand.  Your doctor will look at and feel the skin on the palm of your hand for thickened tissue or nodules.  Your doctor will observe your finger positioning and test the movement of your finger joints.  You may be asked to perform the Table Top Test, in which you will attempt to place your open hand on a surface and flatten your palm and fingers out as far as you can.  This will be difficult in the presence of finger contractures.
Back to top

Treatment

There is no way to stop the progression of Dupuytren’s disease.  Your doctor will monitor the progress of your disease.  Injections may help relieve the pain in a lump that has formed early in the disease process.  Surgery is recommended if the fingers become flexed enough to interfere with the functional use of your hand.
 
Injectable enzymes to dissolve the diseased tissue were FDA approved in 2010. The product is called Xiaflex. Studies and ongoing use of the enzyme have shown success in treating finger contractures caused by Dupuytrens Disease.
Back to top

Surgery

The goal of surgery is to increase the movement of your fingers and restore their correct positions to improve hand functioning.  There are several different options for this.  Your surgeon may simply divide the thickened bands in a procedure called fasciotomy.  Your surgeon may remove the sheet of diseased palmar fascia in a procedure called fasciectomy.  In some cases, a skin graft may be necessary.
Back to top

Recovery

Following surgery, you will participate in rehabilitation with a hand therapist who will instruct you in strengthening and stretching exercises.  You may receive therapy treatments to reduce swelling and ease pain.  Your hand therapist will provide you with a splint to position your hand and promote healing.
 
Surgery is not always a permanent solution for Dupuytren’s Disease.  The condition tends to gradually recur over time. 
Back to top

Copyright ©  - iHealthSpot Interactive - www.iHealthSpot.com

This information is intended for educational and informational purposes only. It should not be used in place of an individual consultation or examination or replace the advice of your health care professional and should not be relied upon to determine diagnosis or course of treatment.

The iHealthSpot patient education library was written collaboratively by the iHealthSpot editorial team which includes Senior Medical Authors Dr. Mary Car-Blanchard, OTD/OTR/L and Valerie K. Clark, and the following editorial advisors: Steve Meadows, MD, Ernie F. Soto, DDS, Ronald J. Glatzer, MD, Jonathan Rosenberg, MD, Christopher M. Nolte, MD, David Applebaum, MD, Jonathan M. Tarrash, MD, and Paula Soto, RN/BSN. This content complies with the HONcode standard for trustworthy health information. The library commenced development on September 1, 2005 with the latest update/addition on April 13th, 2016. For information on iHealthSpot’s other services including medical website design, visit www.iHealthSpot.com.

Footer

Satisfaction Survey
Satisfaction Survey
Tell us what you think! tell us what you think!

Patient Education

Our award-winning library has more than 200 conditions and treatments!

More


  • Online Bill Pay Online Bill Pay

  • MyChart MyChart

  • Request an Appointment Request an Appointment
  • Home
  • OrthoNOW! of Syracuse
  • Sports Medicine Walk-In Clinic
  • Bone & Joint Center
  • Township 5
  • Academics & Research
  • News
  • Satisfaction Survey
  • Patient Education
  • Contact Us
  • About Us
  • Our Providers
  • Bone & Joint Center
  • Patient Stories
  • Just for Patients
  • Non Discrimination Notice
  • Accessibility Statement
  • Privacy Policy
  • Sitemap
  • Orthopedic Specialties
  • Adult Spine Reconstruction/Care
  • Foot & Ankle
  • General Orthopedics
  • Hand & Wrist
  • Hip & Knee
  • Joint Replacement/Reconstruction
  • Orthopedic Trauma
  • Orthopedic Oncology
  • Pediatric Orthopedics
  • Shoulder & Elbow
  • Sports Medicine
  • Same-Day Programs
  • OrthoNOW! of Syracuse
  • Same-Day Appointment Availability
  • Sports Medicine Walk-In Clinic
  • Advanced Orthopedic Services
  • Ambulatory Surgery
  • Arthroscopy
  • Cartilage Restoration
  • Diagnostic Imaging
  • Extracorporeal Shockwave Therapy
  • Injection Therapy
  • MAKOplasty Robotic Surgery
  • Microsurgery
  • Onsite Durable Medical Equipment
  • PRP Therapy

6620 Fly Road, Suite 100
East Syracuse, NY 13057
Phone: (315) 464-4472
Fax: (315) 464-5222

Copyright © Upstate Orthopedics. All rights reserved

iHealthspot Medical Website Design and Medical Marketing by iHealthSpot.com

At Upstate Orthopedics, our orthopedic surgeons provide treatment for patients with chronic pain due to sports injury, job related injury, auto accident or other orthopedic conditions. Experienced neck, back and spine surgeons specialize in the management of scoliosis, whiplash, degenerative disc disease, pinched nerves, spinal cord tumors and other spinal deformities. Our foot and ankle specialists find solutions for common sports injuries, shin splints, flat foot, plantar fasciitis, diabetic foot as well as bunion, claw toe, hammertoe. Upstate Orthopedics has a full staff of orthopedic hand and wrist microsurgeons with experience providing relief for carpal tunnel syndrome, flexor or extensor tendon injury, bite injury and congenital deformities that require specialized training. We also have shoulder, elbow, hip and knee joint replacement specialists providing treatment for rotator cuff tear, ligament strain, arthritis, congenital deformities, hip fracture and more. We have a dedicated oncology team to help you fight cancer, tumor, metastatic disease and improve quality of life. Parents trust our pediatric specialists to care for their young children, athletes, students, family and friends. Convenient on-site x-ray, MRI, CT scan, casting and splinting, wound care, physical therapy, pain relief treatments and outpatient surgery from world-class medical staff serving Onondaga County and surrounding counties in Central New York.