What is Dupuytren’s Contracture?

Dupuytren’s contracture is a condition that affects the tissue beneath the skin in the palm of the hand. Over time, this tissue can thicken and tighten, forming cords that pull the fingers toward the palm.

The condition usually develops slowly and most often affects the ring and little fingers. As it progresses, everyday tasks like gripping objects, shaking hands, or placing the hand flat on a surface may become more difficult.

The exact cause is not fully understood, but several factors may increase the risk of developing the condition. These include:

• Family history of Dupuytren’s contracture
• Age over 50
• Male sex
• Northern European ancestry
• Diabetes
• Smoking or heavy alcohol use
• Certain seizure medications

Symptoms

Dupuytren’s contracture often begins gradually. Many people first notice a small lump or thick area in the palm before changes in finger movement appear.

Common symptoms may include:

• Firm nodules or lumps in the palm
• Thick cords beneath the skin
• Fingers bending toward the palm
• Trouble fully straightening the fingers
• Difficulty laying the hand flat
• Reduced grip strength or hand flexibility
• Skin puckering or dimpling in the palm

How is it diagnosed?

Healthcare providers usually diagnose Dupuytren’s contracture with a physical exam. During the visit, your provider will examine your hand, check finger movement, and look for thickened tissue or cords in the palm.

They may also measure how much the fingers are bent and evaluate grip strength and flexibility. Imaging tests are not typically needed unless another hand condition is suspected.

How is it treated?

Treatment depends on how much the condition affects hand movement and daily activities. Mild cases may only need regular monitoring over time.

Early or less severe symptoms may improve with:

• Steroid injections for painful nodules
• Enzyme injections to weaken tight tissue cords
• Needle procedures that release contracted tissue with minimal incisions
• Hand therapy exercises to support movement and flexibility

If finger contractures become more severe or limit hand function, surgery may be recommended to remove or release the affected tissue.

Recovery varies based on the treatment used and the severity of the condition. Many people experience improved hand movement after treatment, although symptoms can sometimes return over time.