Dupuytren’s contracture treatment at TranPlastic in Huntington Beach helps patients restore hand function and straighten curled fingers. Our specialized hand surgeons offer both non-surgical and surgical solutions for this progressive condition.
What Is Dupuytren’s Contracture?
Dupuytren’s contracture is a progressive hand condition where thick, scar-like tissue forms under the skin of the palm. Over time, this tissue forms cords that pull one or more fingers into a bent position, making it difficult to straighten them.
Common symptoms:
- Thickening or nodules in the palm
- Visible cord running from palm to finger
- Fingers progressively curling toward palm
- Inability to lay hand flat on table
- Painless but functionally limiting
Treatment Options
Non-Surgical Treatment
- Collagenase injections: Enzyme that dissolves the cord, followed by manipulation
- Needle aponeurotomy: Needle used to cut the cord through the skin
- Observation: For mild cases not affecting function
Surgical Treatment
Surgery removes the diseased tissue:
- Fasciectomy: Surgical removal of the thickened tissue
- Regional fasciectomy: Most common procedure with excellent results
- Dermofasciectomy: For recurrent or severe cases
Recovery Timeline
- Weeks 1-2: Splinting to keep fingers straight. Hand therapy begins.
- Weeks 2-6: Intensive hand therapy to maintain extension.
- Months 3-6: Gradual return to full activities.
- Long-term: Night splinting may be recommended to prevent recurrence.
Frequently Asked Questions
What causes Dupuytren’s contracture?
The exact cause is unknown, but genetics play a major role. It’s more common in men of Northern European descent, and risk increases with age, diabetes, and smoking.
Is Dupuytren’s contracture painful?
Typically no. The condition is painless but progressively limits hand function as fingers curl into the palm.
Can Dupuytren’s contracture come back after treatment?
Yes, recurrence is possible since the underlying condition remains. Regular monitoring and early intervention for new nodules helps manage recurrence.
When should I seek treatment?
When you can’t lay your hand flat on a table (Huston tabletop test) or when the contracture interferes with daily activities like putting hands in pockets or shaking hands.
Is surgery always necessary?
No, many cases can be treated with collagenase injections or needle aponeurotomy. Surgery is reserved for severe or recurrent cases.
About Dr. Tuan Tran
Dr. Tuan Tran specializes in Dupuytren’s contracture treatment, offering both minimally invasive and surgical options tailored to each patient’s needs.
Insurance & Cost
Dupuytren’s treatment is typically covered by insurance. We verify your coverage and provide transparent pricing.
Locations We Serve
Main Location: Huntington Beach, CA
Serving Orange County: Newport Beach, Fountain Valley, Westminster, Garden Grove, Costa Mesa, Seal Beach
Contact Us
Fingers curling into your palm? Contact TranPlastic for evaluation.
Phone: 714-839-8000
Contact Page: Tran Plastic Surgery Contact Page