Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Dupuytren’s Contracture Treatment in Singapore

Dupuytren’s Contracture

Dupuytren’s Contracture

Dupuytren’s contracture

Dupuytren’s contracture is a painless thickening and contracture of tissue beneath the skin on the palm of the hand and fingers.

Causes, incidence, and risk factors

The cause is unknown. Family history of Dupuytren’s contracture makes you more likely to develop this condition. It does not seem to be caused by occupation or from trauma.

The condition becomes more common after the age of 40. Men are affected more often than women. Risk factors are alcoholism, diabetes, and smoking.

Symptoms

One or both hands may be affected. The ring finger is affected most often, followed by the little, middle, and index fingers.

A small, painless nodule or lump develops in the tissue below the skin on the palm side of the hand. Over time, it thickens into a cord-like band.

It becomes difficult to extend or straighten the fingers. In severe cases, straightening them is impossible.

Signs and tests

The orthopaedic specialist will examine your hands. The physical examination of the palm will show thickened scar tissue and difficulty straightening the fingers.

Treatment

Exercises, warm water baths, or splints may be helpful.

Surgery may be performed to release the contracture, depending on the severity of the condition. Normal movement of the fingers is usually restored by surgery followed by physical therapy exercises for the hand.

A newer treatment involves injecting a substance called collagenase into the scarred or fibrous tissue. Three injections are needed. You may have side effects such as swelling, pain, and itching. A more rare but severe side effect is rupture of the tendon.

Expectations (prognosis)

The disorder progresses at an unpredictable rate. Surgical treatment can usually restore normal movement to the fingers. The disease can recur following surgery in up to half of cases within 10 years.

Complications

Worsening of the contracture may result in deformity and loss of function of the hand.

There is a risk of injury to blood vessels and nerves during surgery.

Calling your health care provider

Call Dr Kevin Yip (+65 9724 1219) if you have symptoms of this disorder.

Prevention

Awareness of risk factors may allow early detection and treatment.

4 comments to Dupuytren’s Contracture Treatment in Singapore

  • Gleb

    Hello, I have a Dupuytren’s Contracture (grade 3) I want to know what the price for treatment ? (injection)
    Thank you!

  • Dr. Fisher

    Can you provide me the name and contact for a doctor or clinic that does Collagenase Injection (Xiaflex)treatment.

  • dericknwq

    Hi Dr. Fisher,

    Our clinic does not provide Collagenase Injection (Xiaflex)treatment.

  • david martin

    I have bilateral Dupuytrens. Can both hands be treated by collagenase herapy at the same time? Can you give me a Doctor`s name to contact re treatment please.
    My thanks, David Martin