Is it possible for thumb surgery to trigger Dupuytrens contracture?
Is it possible to have a surgery trigger this disease? Just curious. I only have it in one hand and it started a few weeks after CMC thumb surgery. I did have a cast too tight a few times the first weeks. I had NO symptoms before. I am only 53 and female. Not from Europe either. I want to do all I can do to stop this but am just baffled why it came on right after surgery. Does that mean it may not spread to other hand? You programs sound awesome. Thanks
My study of the literature, but more importantly my personal one-on-one discussions with men and women who have Dupuytren’s contracture, shows some frequency of stories similar to what you report. Shortly after carpal tunnel surgery developing Dupuytren’s contracture. Shortly after most any type of hand or upper extremity surgery developing Dupuytren’s contracture. Shortly after moderate to severe hand or upper extremity trauma developing Dupuytren’s contracture. A study reports that 40% of people who sustain a Colles’ wrist fracture will develop Dupuytrens contracture within three years. The association of DC developing after even more indirect trauma with some people reporting after moderate to severe lower extremity surgery or trauma.
The typical explanation for this causation of Dupuytren’s contracture is the cascade of tissue hormones and inflammation response in the form of mast cells, lymphocytes and substance P, that develop after any injury (and surgery can easily be seen as a type of local tissue injury), triggering a local response in the hand.
Additionally, besides being concerned about what caused your Dupuytrens contracture you should also be concerned about what you can do to help your body eliminate this foreign tissue from your hand. If I can help you or answer your questions in that regard please let me know. TRH