What is Dupuytren’s Contracture?

Dupuytren’s contracture is a condition that affects the hand, where fibrous tissue beneath the skin of the palm thickens and tightens over time. This can cause one or more fingers—most commonly the ring and little finger—to gradually bend inwards.

The condition typically progresses slowly and may initially present as small nodules or lumps in the palm before developing into cords that restrict finger movement.

While not usually painful, Dupuytren’s can interfere with everyday activities such as gripping objects, shaking hands, or placing the hand flat on a surface.

What Causes Dupuytren’s?

The exact cause is not fully understood, but it is associated with a combination of genetic and environmental factors.

It is more commonly seen in:

• Men over the age of 40
• Individuals with a family history of the condition
• Those of Northern European descent
• Patients with diabetes or certain lifestyle factors

Injury or overuse of the hand does not cause the condition.

Can it be treated with a minimally invasive procedure?

There are different techniques depending on the extent of the condition – from surgery under anaesthetic to needling and injections. In our clinic, we offer a minimally invasive, scar-less needling technique to select cases, known as needle fasciotomy. This involves using a fine needle to carefully divide the tight cords beneath the skin, allowing the affected finger to straighten.

What Are the Benefits of Needle Treatment?

This approach offers several advantages over open surgery in suitable cases.

• Does not require incisions and therefore no scars
• Immediate straightening of the digit
• Is performed under local anaesthetic
• Takes only a short amount of time
• No extensive rehabilitation or splints, just some stretches and exercises
  
  

Is It Safe?

Needle fasciotomy is a well-established and safe procedure when performed by experienced clinicians. Our lead clinician, Dr Dominic Yue, is a dual qualified plastic and hand surgeon.

As with any treatment, there are some risks, including:

• Minor bruising or swelling
• Temporary discomfort
• Risk of recurrence is usually higher than open surgery

We will always discuss these fully during your consultation.

What Happens on the Day of Treatment?

On the day of your procedure, you will meet with your clinician to confirm your treatment plan. The area will be numbed with a tiny bleb of local anaesthetic, and the procedure will be performed using a series of fine needles to release the tightened cords. The treatment typically takes around 30 minutes.

What Happens After Treatment?

You will have a dressing afterwards and be asked to elevate your hand for a period of time. Recovery of the skin is quick, with most wounds healed within 2-3 days if not sooner. We would discuss with you the likely timeframe to return to your normal activities. You may experience very mild soreness or bruising, but this usually settles quickly. We will recommend simple hand exercises or physiotherapy to optimise your result.