Is a trigger finger and swans neck deformity part of Dupuytren’s contracture?

Dear  Dr. Herazy,

I have Dupuytrens and swans neck and trigger thumb.  Yes, I am Norwegian. 

My question is trigger thumb and swans neck a part of Dupuytren’s contracture?

Thank you

Kristina

 

Greetings Kristina,

There are many degrees of involvement of the fingers when a person has Dupuytren’s contracture; some are worse and more involved than others. 

A “trigger finger” occurs when a finger tendon stick or is caught in the tendon sheath due to sheath swelling or dryness.  Depending on the number of fingers affected, location and degree of involvement it is possible to have a trigger phenomenon of one or more fingers.  This is fairly common to happen in many cases of DC. See Trigger finger and Dupuytren’s contracture.

A “swan neck” deformity is a less common occurrence in Dupuytrens. This kind of finger deformity occurs when the cord pulls the involved finger in a state of hyperextension of the PIP joint, flexion of the DIP joint, and even sometimes an additional flexion of the metacarpophalangeal joint.  Sorry to get technical with you in this explanation but I know of no other way to explain it.   TRH

Comments

2 Responses to “Is a trigger finger and swans neck deformity part of Dupuytren’s contracture?”
  1. norman taylor says:

    I have had a Dupuytren’s contracture fasciectomy surgery 3 months ago because my right hand ring finger was bent.Since the surgery was done i now have developed a swan neck deformity on the same finger.It is extremely painful and if i was aware beforehand that this may be a complication i would not have gone ahead with the surgery.

  2. Dr.Herazy says:

    Greetings Norman,

    Sorry to hear of your Dupuytren’s contracture, and the bad response to surgery. All the time I learn from people that their doctor’s do not explain what the bad results can be from this kind of surgery to the hand for Dupuytren’s contracture. Personally, I think it is because if the surgeon told his patient’s what terrible things could happen, and how often they actually do happen, then many people would not have these hand surgeries and the income of the surgeons would suffer. I suggest you spend some time reading the DCI website to see how you can use Alternative Medicine to assist your body to heal Dupuytren’s contracture. TRH

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