Dupuytren’s Contracture

This is a hand condition which begins with progressive thickening of tissue in the palm (also known as the palmar fascia). Over time the thickening leads to nodules and thick cords which replaces the normal fascia. These changes cause the fingers to bend in towards the palm permanently. It commonly affects the ring and little finger and can occur in both hands. It is more common in men over the age of 40.

Treatments

Needle fasciotomy

Using local anaesthetic, a needle is inserted into several places along your palm and finger to loosen and straighten it. The procedure is performed as a day case and usually takes less than 30 minutes to perform. Following the procedure, physiotherapy is needed and a splint is usually required.

Injection of Xiapex

This is a two stage procedure. Firstly this involves the injection of a medicine called Xiapex, into your palm to loosen the thickened cords. This takes 24 hours to work and so on the following day the surgeon can then manipulate and straightened the fingers. This method avoids any open cuts, but repeat treatments may be needed.