Dupuytren’s Contracture

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• Small, firm nodules or lumps in the palm
• Thick cords of tissue extending into the fingers
• Gradual inability to fully straighten one or more fingers
• Usually painless, though the condition can affect hand function significantly over time

Dupuytren’s contracture has a strong genetic component and is more common in people of Northern European descent, men over 40, smokers, and those with diabetes or a family history of the condition.

Observation for early, mild cases – Needle aponeurotomy (needle release of the tightened tissue) – Collagenase injection to break down the contracted cord – Surgical fasciectomy for advanced contractures affecting hand function

Dr. Kadzielski evaluates the degree of contracture and your functional goals to recommend the least invasive effective treatment, with hand therapy support to maximize your post-treatment range of motion.