How is Dupuytrens Contracture diagnosed?

Diagnosing Dupuytren's Contracture

Dupuytren's Contracture is a hand condition that affects the connective tissue beneath the skin of the palm and fingers. It is characterized by the formation of thickened cords of tissue that can cause the fingers to bend inward, making it difficult to fully extend them. Diagnosing Dupuytren's Contracture typically involves a combination of medical history assessment, physical examination, and imaging tests.

Medical History Assessment

During the initial consultation, your healthcare provider will ask you questions about your symptoms, medical history, and any family history of Dupuytren's Contracture. It is important to provide accurate information about the progression of your symptoms, any pain or discomfort experienced, and any limitations in hand function.

Physical Examination

The physical examination is a crucial step in diagnosing Dupuytren's Contracture. Your healthcare provider will carefully examine your hand, looking for signs of thickened cords or nodules in the palm and fingers. They will assess the degree of finger contracture and evaluate the range of motion in your hand. The examination may involve palpation of the affected areas to determine the extent of tissue involvement.

Imaging Tests

In some cases, imaging tests may be ordered to aid in the diagnosis of Dupuytren's Contracture. These tests can provide a more detailed view of the affected hand and help determine the severity of the condition. The most commonly used imaging techniques include:

• X-rays: X-rays are often performed to rule out other conditions that may cause similar symptoms, such as arthritis. While X-rays cannot directly visualize the affected tissue, they can help identify any associated bone abnormalities.


• Ultrasound: Ultrasound imaging uses high-frequency sound waves to create real-time images of the hand. It can help visualize the thickened cords, nodules, and other changes in the affected tissues.


• Magnetic Resonance Imaging (MRI): MRI scans use powerful magnets and radio waves to generate detailed images of the hand. This imaging technique can provide a comprehensive view of the affected tissues, including the extent of contracture and involvement of nearby structures.

Differential Diagnosis

It is important to differentiate Dupuytren's Contracture from other conditions that may cause similar symptoms. Some conditions that can mimic Dupuytren's Contracture include:

• Ledderhose disease: This condition affects the connective tissue in the feet, causing the formation of nodules and thickened cords.


• Plantar fibromatosis: Also known as Morbus Ledderhose, this condition involves the thickening of the connective tissue in the arch of the foot.


• Peyronie's disease: Peyronie's disease affects the connective tissue of the penis, leading to the development of fibrous plaques and curvature.


• Trigger finger: Trigger finger is a condition characterized by the catching or locking of a finger when bent.

Proper diagnosis is essential to develop an appropriate treatment plan for Dupuytren's Contracture. If you suspect you may have this condition, it is important to consult with a qualified healthcare professional who can accurately diagnose and guide you through the treatment options available.