Dupuytren's contracture is an abnormal thickening of tough tissue in the palm and fingers that can cause the fingers to curl. It is more common in men than in women and becomes more common as we grow older. It can also lead to painful nodules in the palm, as well.
The cause of Dupuytren's contracture is not known. It is not caused by an injury. It is not a cancer. It is most common in people of Northern European descent.
Dupuytren's contracture usually occurs very gradually. It may begin as a small tender lump in the palm. Over time the pain usually goes away, but tough bands may form that cause the fingers to bend toward the palm. The ring and small fingers are most commonly affected.
There is no way to stop or cure the problem. It is not dangerous. Dupuytren's contracture usually progresses very slowly and may not be troublesome for years. If a painful lump is present, an injection may help diminish the pain. If the fingers become bent, they may interfere with use of your hand. Surgery is recommended when inability to straighten the fingers significantly limits your hand function.
Subtotal palmar fasciectomy is the surgical removal of the taut, retracted palmar fascia from the palm and afflicted finger(s). The amount of time spent during the operation depends on the amount of involvement, but generally requires around one hour, and is done as an outpatient in surgery.