Dupuytren’s disease, also known as Dupuytren’s contracture or “Viking disease,” is a progressive hand condition characterized by the thickening and tightening of the connective tissue beneath the skin of the palm and fingers. When this happens, it can result in the development of nodules and cords that can gradually pull the fingers into a bent position, making it difficult to fully extend them. The most commonly affected fingers are the ring and pinky.
Causes and Risk Factors
While the exact cause of Dupuytren’s disease remains unclear, several contributing factors have been identified:
- Age: Most frequently occurs after age 50.
- Gender: More common in men than women.
- Ancestry: Higher prevalence among individuals of Northern European descent.
- Family History: Genetic predisposition plays a role.
- Health Conditions: Linked to diabetes, epilepsy, and other systemic conditions.
- Lifestyle Factors: Smoking and alcohol use may increase risk.
Recognizing the Symptoms
Common early signs of Dupuytrens disease include:
- Painless lumps or nodules in the palm
- Thickened skin in the palm region
- Rope-like cords forming beneath the skin
- Fingers (typically ring and pinky) curling toward the palm
- Difficulty flattening the hand on surfaces
Treatment Options
The treatment approach for Dupuytren’s disease depends on the severity of the condition and the degree of finger involvement. Options range from non-invasive observation to surgical intervention.
Dupuytren’s Contracture Needle Aponeurotomy: A Minimally Invasive Solution
One of the most effective and least invasive treatments for Dupuytren’s contracture is needle aponeurotomy. This outpatient procedure uses a fine needle to carefully puncture and weaken the tight cords of tissue beneath the skin. Once the cords are disrupted, the finger can be gently straightened to restore motion.
Benefits of needle aponeurotomy include:
- Performed under local anesthesia
- No surgical incision required
- Minimal downtime and rapid recovery
- Can be repeated if the condition recurs
- Often done in a clinic setting rather than an operating room
This option is ideal for patients in the early to moderate stages of the disease who want to avoid more extensive surgery. Many patients are surprised by how quick and effective the treatment is and how soon they can return to normal hand function.
Other Treatment Options
- Collagenase Injections: Enzymatic treatment that dissolves the tissue cords to release finger contractures.
- Observation: In cases with minimal symptoms or slow progression.
- Surgical Options:
- Fasciotomy: Cutting the contracted tissue.
- Fasciectomy: Surgical removal of the diseased tissue.
Living with Dupuytren’s Disease
Although not typically painful, Dupuytren’s disease can limit everyday hand use. Early intervention, especially with procedures like needle aponeurotomy, can significantly improve function and quality of life. If you are living with Dupuytren’s disease, contact OrthoManhattan to schedule a consultation with Dr. Keith Raskin or Dr. Alton Barron and learn whether needle aponeurotomy is right for you.