Dupuytren’s contracture

In this condition, a scar or lump forms under the palm. The scar can extend into the finger and over time, can cause the finger to bend inwards. Some need observation but others need operation. In general, it starts in the ring or little finger but others can be affected. The contracture is usually operated upon when the patient cannot place the hand flat on the table but each case varies. Your GP should refer you for assessment.

Operation for Dupuytrens contracture

In most instances, this is done as a day case under sedation or as a general anaesthetic. The skin is opened in a zig zag fashion and the contracture is removed. In this operation the contracture lies around the nerves to the finger and these need to be carefully preserved. After the contracture is removed, the bleeding is controlled and the skin is then closed. Local anaesthetic is used to numb the fingers for pain control, the bandages applied and the operation is over. It usually takes about 1-2 weeks to recover with a return to work after this time ( up to 6 weeks depending on the patients work and severity of Dupuytrens) - see Dupuytrens information sheet.

Dupuytren's Contracture information sheet