Dupytren’s Contracture

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INJURY TITLE

Dupytren’s Contracture

 

INJURY OVERVIEW

Dupytren’s contracture is a fixed positional change of the hand where the fingers bend towards the palm and cannot be fully straightened.

 

INJURY IN-DEPTH INFORMATION

Dupuytren’s contracture is caused by underlying contractures of the connective tissue in the palm of your hand.  The ring finger and little finger are the fingers most commonly affected. The middle finger may be affected in advanced cases, but the index finger and the thumb are rarely affected. Dupuytren’s contracture progresses slowly and is usually painless. In patients with this condition, the tissues under the skin on the palm of the hand thicken and shorten so that the tendons connected to the fingers cannot move freely.  Incidence increases after the age of 40; at this age, men are affected more often than women. After the age of 80, the gender distribution is about even.

 

COMMON SIGNS & SYMPTOMS

  • Usually pain free
  • Bending of the fingers towards the palm of your hand
  • Inability to straighten the fingers

 

HOW IS IT ASSESSED

  • Clinical examination is usually all that is needed to recognise the condition

 

GENERAL TREATMENT

  • In mild cases, manual therapy could be used to slow the progression of the contracture
  • Usually surgical opinion is sought and depending the stage of the problem.

 

Exercise Videos: i.e.

  • Rotator cuff strengthening
  • Pec stretch
  • etc

 

WHICH HEALTH PROFESSIONAL TO CONSULT

PHYSIO     X

MEDIC     X

PODIATRY     

Put an ‘X’ next to each health professional that most commonly deals with this injury.

i.e. tennis elbow would be Physio and Medic as injections are common, whereas for muscular LBP it would be Physio and not Medic as they would just refer them to a Physio.

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