Which are the symptoms of Dupuytrens Contracture?

Symptoms of Dupuytren's Contracture

Dupuytren's contracture is a hand condition that affects the connective tissue beneath the skin of the palm and fingers. It causes the fingers to bend inward towards the palm, making it difficult to fully extend them. This condition typically progresses slowly over time and can vary in severity from person to person. While it is not usually painful, it can significantly impact hand function and daily activities. Recognizing the symptoms of Dupuytren's contracture is crucial for early diagnosis and appropriate treatment. Here are the key symptoms to watch out for:

1. Nodules or lumps

One of the initial signs of Dupuytren's contracture is the development of small, firm nodules or lumps in the palm of the hand. These nodules are typically painless and may initially go unnoticed. They are caused by the thickening of the connective tissue beneath the skin.

2. Thickened cords

Over time, the nodules can progress into thickened cords of tissue that extend from the palm to the fingers. These cords may feel tight or tense and can limit finger movement. The affected fingers may become progressively bent towards the palm, making it challenging to straighten them fully.

3. Finger contracture

The hallmark symptom of Dupuytren's contracture is the gradual development of finger contracture. The affected fingers, most commonly the ring and little fingers, may gradually bend towards the palm. Initially, this bending may be mild and only noticeable when attempting to fully extend the fingers. However, as the condition progresses, the contracture becomes more pronounced, making it difficult to perform everyday tasks such as grasping objects or shaking hands.

4. Difficulty with hand function

As Dupuytren's contracture advances, it can significantly impact hand function. The inability to fully extend the affected fingers can make it challenging to perform activities that require a strong grip or precise finger movements. Simple tasks like buttoning a shirt, writing, or gripping objects firmly may become increasingly difficult.

5. Progression over time

Dupuytren's contracture is a progressive condition, meaning it tends to worsen over time. The rate of progression can vary from person to person, with some individuals experiencing a slow and gradual progression, while others may have a more rapid advancement of the contracture. Regular monitoring of the condition is essential to track its progression and determine the appropriate treatment approach.

6. Bilateral involvement

In some cases, Dupuytren's contracture can affect both hands, although it often starts in one hand initially. The severity and rate of progression may differ between the hands, but it is not uncommon for both hands to eventually be affected.

If you notice any of these symptoms, it is important to consult a healthcare professional, such as a hand surgeon or orthopedic specialist, for an accurate diagnosis and appropriate treatment options. Early intervention can help manage the symptoms, slow down the progression, and improve hand function.