Dupuytren contracture

Dupuytren contracture:

Dupuytren contracture:
A localized formation of scar tissue in the palm of the hand within a tissue
(fascia) beneath the skin of the palm that normally covers the tendons that pull
the fingers into a grip. As Dupuytren's contracture progresses, more of the
fascia becomes thickened and shortened. Dimpling and puckering of the skin over
the area eventually occurs. The precise cause of of Dupuytren's contracture is
not known. Causes include diabetes mellitus,
seizure disorders (epilepsy), and
alcoholism. It also can be inherited. Most patients with Dupuytren's contracture
require only stretching exercises with heat application. When the palm is
persistently sore with grasping, ultrasound treatments can be helpful. Sometimes
local inflammation can be relieved with cortisone injection. For patients with
significant fixed flexed posture (contracture) of the fingers from Dupuytren's
contracture, injections of collagenase or surgical procedures can removed the
scarred tissue to free the fingers.





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