Dupuytren's disease

Written by: Dr. David Cecilia López
Published: | Updated: 18/11/2018
Edited by: Top Doctors®

Dupuytren's disease is a disease of the hand that causes progressive flexion of the fingers, especially of the ring and pinky, although it can affect all the fingers, and prevents the patient from opening the hand completely.

Its appearance can be due to multiple factors, being the hereditary one of them. It is also sometimes associated with the taking of certain medications, diseases such as diabetes, tobacco, alcoholism, but at other times no cause is found related to the onset of the disease.

Symptomatology of Dupuytren's disease

In Dupuytren's contracture there is a thickening of the fibrous tissue of the palm of the hand that is superficial to the flexor tendons, the tendons being normal although the growth of this fibrous tissue prevents their normal mobility.

The onset of the disease is usually painless, and may be at this stage for a long time. Later, nodules can begin to develop in the palm, and if the disease continues to develop, strings of subcutaneous fibrous tissue are created that begin to limit the mobility of the hand. The patient can not support the palm of the hand completely extended on a plane, has difficulty to grasp objects and to open the hand completely. The development of daily activities of daily living such as eating, shaking hands, personal hygiene, or developing certain manual activities are performed with certain difficulties.

It is advisable to go to a specialist in Traumatology for the evaluation of the symptoms, since if the disease is allowed to evolve the later treatment is usually more complicated, with greater risks and worse results for the patient.

What is the treatment of Dupuytren's disease?

The treatment of Dupuytren's disease today in the hands of specialists accustomed to it aims to return the patient to a situation in which he can lead a normal life, without limitations derived from the disease. This objective must be achieved in most cases.

The treatment depends on the specific case, but we have different options, all of them trying to make the treatment according to the principles of minimally invasive surgery, so that the patient recovers as soon as possible and can return to normal daily activities and sports.

In this way the aesthetic sequels are practically nonexistent. It is a surgery that must be performed in the context of ambulatory surgery without the need for hospitalization or prolonged hospitalization.

*Translated with Google translator. We apologize for any imperfection

By Dr. David Cecilia López
Orthopaedic Surgery

Dr. David Cecilia is a prominent traumatologist. His more than 15 years of experience have allowed him to specialize in upper limb surgery, traumatic sequelae surgery, sports traumatology, arthroscopic surgery, prosthetic surgery and biological therapies. Currently, he is responsible for the Hand and Elbow Unit of Hospital 12 de Octubre in Madrid, he is Team Leader for Mutuality of Football Players of the Madrid Football Federation and he carries out his private activity in La Milagrosa Hospital, dealing with pathology and diseases that affect the hand, wrist and elbow. The doctor combines his professional activity with teaching, practicing as professor of Orthopedic Surgery and Traumatology at the Faculty of Medicine at the Complutense University of Madrid. The service offered by the doctor is based on professional excellence, individualized treatment, research and technical innovation, always incorporating the latest scientific advances. Dr. Cecilia has made more than 100 contributions to national and international conferences, more than 30 national and international publications and has been a professor in more than 50 refresher courses in the specialty.

*Translated with Google translator. We apologize for any imperfection

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