Dupuytren’s Contracture,
What Do You See? No. 9

Dupuytren’s contracture is a benign overgrowth of the palmar fascia causing the finger/s to be pulled toward the palm, creating flexion contractures of the metacarpophalangeal and/or the interphalangeal joint/s in one or more fingers. Procedures recommended to relieve the contracture/s include: collagenase injection, fasciotomy (closed, percutaneous, or with skin graft) or fasiectomy (segmental, partial, or complete.) Dissection required for excision is extensive, often leading to post-operative complications in regaining motion. For links to articles about specific procedures go to: http://dupuytrens.org/Procedures.html. Continuous passive motion and the use of a dynamic orthosis has not proven beneficial as part of post-operative treatment for contracture resolution. (1-2)

1. Sampson SP, et al. The use of a passive motion machine in the postoperative rehabilitation of Dupuytren’s disease. Journal of Hand Surgery America. March 1992;17(2):333-8
2. Ebskov LB, et al Results after surgery for severe Dupuytren’s contracture: does a dynamic extension splint influence outcome? Scandinavian Journal of Plastic Reconstructive Surgery and Hand Surgery. June 2000;34(2):155-60.

 Dupuytrens Contracture 1 Dupuytrens Contracture 2

ADDITIONAL SUGGESTED READING

Clinical Pearl No. 18 – Tendon Outcome Assessments

Clinical Pearl No. 15 – The Stubborn Flexor Pollicis Longus

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Disclaimer: HandLab’s What Do You See? is intended to be an informal sharing of practical clinical ideas; not formal evidence-based conclusions of fact.

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