Understanding Dupuytren's Disease: Causes, Symptoms, and Treatment Options
Dupuytren's disease causes fibrous tissue thickening in the palm and fingers, leading to finger deformities and restricted movement. Risk factors include age, genetics, and lifestyle. Diagnosis involves physical exams and simple tests; treatments focus on improving hand function through surgical or non-surgical options. Early management can help maintain daily activity performance.
Dupuytren's disease is a condition where fibrous tissue beneath the skin of the palm and fingers becomes thickened and tightens over time, especially in older adults. This results in nodules forming under the skin that develop into cords, pulling fingers inward—a condition called Dupuytren's contracture. It mainly affects the ring finger and hampers hand mobility, impacting daily tasks. Early symptoms include tender lumps and dimples, with the disease progressing to stiff fingers that can't be fully straightened.
Causes and Risk Factors
The precise cause remains unknown, though connections to hand injuries or surgery are noted. Risk factors include being male over 40, Northern European descent, family history, diabetes, seizures, or alcohol consumption.
Diagnosis and Treatment
A physical examination reveals signs like bumps, thickened skin, or bent fingers. A simple tabletop test can confirm the diagnosis. Currently, there's no cure, but therapies such as needle aponeurotomy, enzyme injections, or surgery can improve finger mobility. Mild cases may be managed with stretching and protective gloves to slow progression.
