Dupuytren’s Contracture

OPA treats a wide variety of upper extremity conditions and offers comprehensive treatment options — including many non-surgical solutions.

What is Dupuytren’s Contracture?

The palmar fascia is fibrous tissue between the palm and fingers. The palmar fascia stabilizes the palmar side of the hand. Without the palmar fascia, it would be difficult to grip objects and make a tight fist.

Common Causes:

    • Palmar fascia thickens and tightens
    • Diabetes
    • Seizure disorders (epilepsy)
    • Alcoholism
    • Age

The cause of Dupuytren’s contracture is unknown. Risk factors include:

    • Gender: Males.
    • Ancestry. Northern European descent.
    • Medical conditions. Diabetes, seizure disorders.
    • Hereditary. Genetically inherited.

Symptoms of Dupuytren’s Contracture may include:

    • Hand tightness and stiffness
    • Small visible nodule
    • Difficulty with straightening the fingers and properly use the hand
    • Symptoms usually seen in the index and ring fingers. The cause of Dupuytren’s contracture is unknown

When you arrive for your initial consultation, an Orthopedic Physicians Alaska (OPA) Hand Specialist will evaluate your areas of concern, discuss your symptoms, and develop a customized and comprehensive treatment plan tailored to your unique needs. This evaluation is a necessary part of diagnosing your condition and providing the best possible care.

When diagnosing Dupuytren’s contracture, our experts will provide:

      • A medical, injury, and symptom history review
      • A physical examination
      • Multiple view x-rays ( to rule out a fracture) and Ultrasound imaging

Once an official diagnosis is made, a customized treatment plan is prescribed. Treatment plans decrease symptoms as quickly as possible.

Common Treatments:

Nonsurgical treatment options treat most cases of Dupuytren’s Contracture. A customized treatment plan usually includes a combination of the following:

Corticosteroid injections decrease inflammation and pain. Injections also slow down or stop nodule progression.

Splinting is not known to prevent the progression of a finger contracture. Forceful stretching of the contracted finger may not be helpful and, in fact, could cause an injury to the finger or hand.

Physical Therapy
An OPA approved hand therapist can help you maintain your motion and function

Schedule Appointment with Our Hand | Wrist | Elbow Team


The OPA team includes Alaska’s leading specialists and offers some of the latest, most advanced treatment procedures available today.

OPA treats a wide variety of conditions and offers comprehensive treatment options — including many non-surgical solutions, minimally invasive arthroscopies (repairs) and total joint replacement.

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