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dupuytren’s disease

background

This is also known as “Viking’s disease”.  In the palm of the hand, there is tissue called fascia (which is present in everyone).  In Dupuytren’s disease, this tissue starts to turn into scar.  When the scar develops, it can pull the fingers down, and make it hard, if not impossible, to straighten the fingers.  This can cause problems using the hand for simple daily activities.

treatment options

In early stages of the disease, treatment can involve observation, if the scar tissue is present but not pulling the fingers down.  When it starts causing problems and contractures, options include an injection of a material than can help release the scar, called Xiaflex, or surgery.

Surgery involves making incisions to remove the scar tissue, and closing the skin with stitches in a zig-zag fashion.

Hand therapy and wearing a splint at night give the best outcome after surgery.