Dupuytren’s contracture is a hand deformity in which the layer of tissue that lies beneath your palm, at the base of your fingers, abnormally thickens. The thickened area can eventually develop into a knot, lump or thick band, causing one or more of your fingers to contract or pull in a bent position, toward your palm or sideways.
If you are having difficulty laying your finger flat and/or if you have noticed one or more nodules or lumps in your hand, get it properly evaluated by an orthopedist. When left untreated, Dupuytren’s contracture can render you unable to carry out fine motor skills, such as those that involve grasping or holding. This can ultimately result in functional disability.
Keep reading to learn about how an orthopedist diagnoses Dupuytren’s contracture as well as the available treatment options.
Physical Examination
An orthopedist can usually confirm a diagnosis simply by examining your hands. They will assess your finger flexibility as well as your grip and pinch strength.
Your doctor will also compare your hands and check your palms for puckering on their skin. They will press some parts of your fingers and hands to check for nodules, knots or bands. They may also assess the range of motion of your fingers.
Additionally, they may use a special tool to determine how much your fingers are contracting or curling. The measurements will be used over time to see if your condition has progressed or evaluate the efficacy of your treatment.
Hueston Tabletop Test
Your joint specialist may also perform a Hueston tabletop test to evaluate the progression of the condition as well as to determine the appropriate corrective measure.
The following grading system helps your doctor determine the severity of your condition:
- Grade 1 – This signifies the presence of a nodule and a band in the central part of the deep fascia of your palm. The band could lengthen or evolve and cause pitting of the skin.
- Grade 2 – This indicates the presence of a band that causes mild contracture of your finger.
- Grade 3 – This means you are unable to lay your affected finger completely flat.
Renowned Orthopedist in Maryland
Here at Greater Chesapeake Hand to Shoulder, our board-certified orthopedic doctors specialize in the diagnosis and treatment of the gamut of problems affecting the upper extremity, including Dupuytren’s contracture.
We will find the suitable treatment for you based on the severity of your condition. We may recommend needling (needle aponeurotomy) or enzyme injections to break down and dissolve the tough bands of tissue, so you can straighten your finger again. Should surgery be necessary, you can rely on our orthopedic doctors – with their sharp clinical acumen, skills and extensive experience – to lead you to the best possible outcome.
Book your visit with one of our highly qualified joint specialists today. Call us at (410) 296-6232 or simply submit an appointment request right here on our website. We are eager to serve you at one of our locations: in Lutherville, Baltimore, Bel Air, Clarksville, Eldersburg, Pasadena or Westminster!
