Hand procedure information
Dupuytren’s surgery
Dupuytren’s disease is a condition affecting the tissue beneath the skin of the palm and fingers, this has many causes and can run in families. Over time, thickened tissue or cords can develop, causing one or more fingers to bend towards the palm. Symptoms and progression vary between patients, and some people may experience increasing difficulty with hand function and everyday activities.
Assessment and diagnosis
Assessment begins with a discussion of symptoms, hand function, medical history and treatment goals, followed by examination of the hand and fingers to assess the degree of contracture and skin involvement. The diagnosis is usually made clinically, although additional investigations may occasionally be recommended depending on the presentation.
Non-surgical options
In the early stages of Dupuytren’s disease, observation and monitoring may be appropriate if symptoms are mild and hand function is not significantly affected. Treatment recommendations depend on the severity and progression of the condition, as well as the impact on daily activities.
Surgical treatment options
Dupuytren’s surgery aims to release or remove the abnormal tissue causing the fingers to bend into the palm, with the aim of improving finger position and hand function. The procedure is commonly performed as a day-case operation, although surgical techniques and anaesthetic options vary depending on the extent of the condition and individual patient factors.
Recovery after treatment
Recovery varies between patients and depends on the extent of treatment performed. Hand therapy, exercises or splinting may be recommended during recovery to help restore movement and function. Swelling, stiffness and scar sensitivity can occur during the early recovery period, and improvement may continue over time.
Risks and considerations
All surgical procedures carry risks. Potential risks of Dupuytren’s surgery may include infection, bleeding, stiffness, swelling, complex pain, nerve irritation or damage, scar sensitivity, delayed wound healing, recurrence of the condition, or the need for further treatment. Specific risks and expected outcomes are discussed during consultation.
Frequently asked questions
Does Dupuytren’s disease always require surgery?
Not always. Some patients have mild disease that can be monitored without intervention, while others may benefit from treatment if finger contractures begin to affect hand function.
Can Dupuytren’s disease return after treatment?
Dupuytren’s disease can recur over time, even after successful treatment. The likelihood of recurrence varies between patients and depends on the nature and severity of the condition.