What Are the Causes of Dupuytren's Conctracture?


Quick Answer

The exact cause of Dupuytren's contracture is unknown, explains WebMD. People of Northern European and Scandinavian descent have a higher risk of the disease. The disease also runs in families, has a higher incidence in males than in females, and occurs most frequently after the age of 40.

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Full Answer

Dupuytren's contracture is a condition that causes the formation of scar tissue inside the palm of the hand around the hand tendons that flex the fingers, according to MedicineNet. In the mild stages, the hand experiences minor puckering. As the disease progresses, the amount of scar tissue increases, and the fingers are forced into a grip position.

The treatment of Dupuytren's contracture depends on the severity of the condition, explains Mayo Clinic. People who experience little or no discomfort are monitored for disease progression. Patients with severe cases are treated with needling, enzyme injections and surgery. Needling involves the insertion of a needle into the affected hand. The needle breaks the scar tissue around the tendons and releases the contracture.

The use of enzyme injections softens and weakens the scar tissue around the tendons, allowing the doctor to manipulate the hand and breaks the cords, states Mayo Clinic. Surgery is a comprehensive treatment solution because it allows the surgeon to remove all of the tissue that is affected. It is invasive and often requires patients to undergo physical therapy.

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