What is Dupuytren's disease?
      Dupuytren's is a benign growth that occurs in the palm and fingers of the hands. It occurs in both men and women, and is more common in caucasians of northern European descent than other ethnic groups. Over time Dupuytrens can cause disabling contractures in the palm and fingers. Currently there is no cure including changes in lifestyle, diet, medication, or surgery. It is widely considered to be hereditary but there may be an environmental influence. Growths can also occur on the back of the fingers and on the sole of the foot.

   
     If you have a firm growth on the skin of one or both palms, especially the ring and small fingers, it is possibly Dupuytrens. Often there are older relatives that had contracted fingers later in life. It is rare in anyone under 30 years old, African or Asian descent, or after hand trauma.

How is it treated?
      If your growth is not causing disability, then simple monitoring is appropriate. A simple exam is the 'table top test' by placing your palm on a flat surface. If you are able to place your hand completely flat then no treatment is needed. Over time, if contracture of your fingers develops where the hand is arched, then treatment may be appropriate. Currently the main options are office based needle aponeurotomy, collagenase injection (Xiaflex), or surgical release/excision.

 
Positive 'table top test'

What is needle aponeurotomy?
      Needle aponeurotomy  or NA is an option for patients who want treatment in an office setting. It is performed similarly to dental procedures and has the advantages of convenience and lower cost. I do not offer NA to patients who have had a prior Dupuytrens' procedures on the same finger (ie revision). For more information on NA click here or see the NA webpage in this site.

For appointments phone:  925-939-8585
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