Dupuytren’s Fibrosis is a condition that affects the connective tissue under the skin of the palm, leading to the formation of thick cords and nodules. These cords can cause one or more fingers to bend toward the palm, making it difficult to fully straighten the fingers. The condition typically progresses slowly over years and can vary in severity.
It is more common in men, people of northern European descent and onset is generally delayed until the 4th and 5th decade of life.
Treatment depends on the severity of the condition and the degree of hand impairment. Options may include observation, minimally invasive needle procedures through to surgical interventions such as removal of the diseased tissue and a full thickness skin graft.
A referral to a surgeon is required for treatment. Consequently, HULC has set up a pioneering ‘Dupuytren’s Clinic’, the first clinic of its kind, together with eminent hand surgeon Mr Jeff Ecker.
Our highly trained hand therapists conduct this clinic to assess hand condition every 6–12 months, detecting any progression or extension of Dupuytren’s contracture early on. By identifying changes early, we can implement simple, minimal interventions to control the disorder and delay or even avoid major, complex surgery.
Our therapists collaborate closely with your surgeon to oversee and monitor your condition. If surgery is needed, hand therapy plays a crucial role in restoring hand function and improving range of motion.
Postoperative management includes wound care, splinting, scar management, and tailored exercise and strengthening programs.
HULC is active in researching the best surgical and post-operative treatment for this condition.
