|Published (Last):||7 January 2017|
|PDF File Size:||11.11 Mb|
|ePub File Size:||18.42 Mb|
|Price:||Free* [*Free Regsitration Required]|
Jason S. As the disease progresses, these firm cords can lengthen and extend into the finger. When the finger becomes involved the motion of the finger, especially straightening it, can become limited. If the diseased tissue is just in your palm you may not have any difficulty using your hand. If the finger is involved there is usually difficulty trying to straighten it because the cord is tethering the joint, leading to a contracture.
The closest and middle knuckles may each or both be involved. The little finger is the most common finger to be involved. However, pressure on palmar nodules may cause callus and pain. Speaking with you and examining your hand will provide the correct diagnosis.
X-rays may help to rule out other conditions as well. For cases that just involve lumps or a cord in the palm and without pain or stiffness of the hand, no treatment may be necessary besides observation. When a finger is involved with a cord and becomes stiff, treatment to straighten the finger may be indicated to improve motion and reduce the risk of further contracture.
There are several ways to straighten the finger. Outpatient surgery can be performed to remove the cord causing the finger contracture, along with other abnormal tissue causing lumps and cords in the palm. Another technique is called percutaneous needle fasciotomy, which involves using a needle to disrupt the cord causing the finger contracture, thereby allowing the finger to be straightened. The abnormal tissue, though, is not removed from the hand. This type of procedure cab be performed in the office with local anesthetic.
The newest technique involves injecting a medicine called Collagenase into the cord. This medicine works at a molecular level to disrupt the cord. A day or two after the injection the patient returns and the finger is numbed and then manipulated to break the now weakened cord and eliminate the contracture.
This type of procedure is also done in the office, and like percutaneous needle fasciotomy, the abnormal tissue is not removed from the hand. Call Dr. Pruzansky at to schedule an appointment and take control of your hand. Our ground level Park Avenue office is currently open and following CDC guidelines on social distancing and disinfection, including patient limits in our waiting room.
Mark E. A message for our patients. Please contact us today at to schedule an appointment.
Our knowledge of orthopaedics. Your best health.
Jason S. As the disease progresses, these firm cords can lengthen and extend into the finger. When the finger becomes involved the motion of the finger, especially straightening it, can become limited. If the diseased tissue is just in your palm you may not have any difficulty using your hand.
Dupuytren's disease is a condition that affects the fascia—the fibrous layer of tissue that lies underneath the skin in the palm and fingers. In patients with Dupuytren's, the fascia thickens, then tightens over time. This causes the fingers to be pulled inward, towards the palm, resulting in what is known as a "Dupuytren's contracture. In some patients, a worsening Dupuytren's contracture can interfere with hand function, making it difficult for them to perform their daily activities. When this occurs, there are nonsurgical and surgical treatment options available to help slow the progression of the disease and improve motion in the affected fingers. The fascia is a layer of tissue that helps to anchor and stabilize the skin on the palm side of the hand.