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Dupuytren’s Contracture

This disorder is a thickening of a ligament in the palm, resulting in nodules on the ligament which, if severe enough, can cause an inability to fully straighten the fingers.

The anatomy of the hand and fingers are complex. There are multiple bands of fibrous tissue that hold the skin of our hands to the bones and these bands of tissue divide the hand into compartments. In Dupuytren’s Contracture the fibrous bands thicken up and essentially glue the skin and fibrous tissue to underlying structures. The fibrous tissue as it matures can thicken and contract, and if it crosses a joint it will make the joint permanently contract. Once the contracture has developed surgery is the most effective way of releasing the joint and hand out straight.

Surgery

Surgery for Dupuytren’s Contracture is a complex procedure as the fibrous layer predictably forms cords and bands of tissue around the most important structures, nerves and arteries, in the hand and fingers. Dr Rando commonly performs Dupuytren’s Contracture release as an overnight procedure. Each case is different and in the morning following your surgery Dr Rando will liaise with the hand therapist who will be involved in your treatment program to start the appropriate course of rehabilitation immediately in the post operative phase. Early movement is advantageous in reducing scarring.

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