Dupuytren Contracture Pictures

Dupuytren contracture pictures show lumps in the palm and cords  

Dupuytren contracture pictures are a very important part in the education of anyone who wants to know about this terrible hand deformity problem that is characterized by nodules or lumps on palms and one or more  contractures of fingers.  Understandably, in the early stages of Dupuytrens contracture any person is very worried about the many small – and sometimes large – changes in the hand.  Not knowing about a problem is often the worse part of a condition like this.  The Internet is used as a fast and ready source of Dupuytren disease pictures.  With this in mind, it might be a good idea for the reader to mark this website as a favorite page so that it can be used as a reference for information and support.

The gallery of Dupuytren’s contracture pictures that follow can be used for general knowledge about the disease process, for comparison to what the reader might be experiencing, or just to see how bad the hand distortion can become.

How do I treat my Dupuytren’s disease?
► It’s easy.  Click on Start Dupuytren’s Treatment

These pictures of Dupuytren contracture are presented for your general education.  They are not intended to assist in making a diagnosis of Dupuytren’s contracture.  If you have not yet visited your doctor to have your hand lumps examined, they are offered to encourage you to seek prompt medical attention and a doctor’s opinion about your problem.  Hopefully, after viewing these Dupuytren pictures you will feel perhaps relieved you are not so bad off in comparison to other people’s situation.

Please understand that the greatest aspect of this problem is not the appearance of the hand, but how the limited movement and restricted activities reduce the ability of the person to live a full and comfortable life.

Before viewing these pictures of Dupuytrens disease it would be a good idea to review some of the basic information about this process.  It is important that you keep in mind a basic understanding of the anatomy of the hand, and how the presence of fibrous tissue thickening can result in a lump on the palm of the hand that eventually can severely limit the use of the hand.

What is Dupuytren’s contracture?

Dupuytren’s contracture is a painless thickening and shortening of fibrous tissue beneath the skin on the palm of the hand and fingers.  When this contracture is progressive, it may result in a deformity so significant that there is loss of normal use and mobility of the hand and fingers.   This reduced mobility causes  the fingers to bend or flex toward the palm and not be able to straighten out.

Cause of lump on palm of hand

The cause of Dupuytrens contracture is unknown, but minor trauma and genetic factors appear to play a role.  One or both hands may be affected, and the ring finger is affected most often, followed in frequency by the little, middle, and index fingers.

Progression of Dupuytren contracture

A small, painless nodule or thickening of tissue usually slowly develops in the connective tissue of the palm.  Eventually it develops into a cord-like band that makes extension of the fingers difficult to impossible in the advanced stage of the disease.

Risk factors

Dupuytren contracture occurs more often after the age of 40, and men are affected more often than women.   people of northern European and Scandinavian ancestry are more likely to develop DC than other groups.  Statistical risk factors, which are thought to be related from a metabolic standpoint, are alcoholism, diabetes, liver disease, and pulmonary tuberculosis, as well as treatment for epilepsy.

Dupuytren symptoms

● Painless (usually) nodule or lump in the palm, developing into a cord-like band
● Thickening and deepening of the lines in the palms of the hands
● Extending the fingers is difficult – most often the 4th and 5th fingers curl up and are unable to be easily straightened, preventing the open hand from laying flat on a tabletop

Signs and tests

A physical examination of the palm by palpation (or touch) confirms the presence of thickened scar tissue and characteristic contracture.  Restriction of of full finger(s) range of motion is most common.

Prognosis or outcome

The disorder progresses at an unpredictable and variable rate; sometimes taking only a few months and other times taking almost a decade to develop fully.  Surgical treatment can usually restore normal movement to the finger, but the disease will recur following surgery in a significantly high number of cases.

Complications of Dupuytren surgery

● Deformity of the hand
● Loss of hand function due to contracture
● Risk of injury to blood vessels and nerves during surgery
● Frequent recurrence or redevelopment of Dupuytren contracture after surgery

Dupuytrens Contracture Pictures: Education and Wake-Up Call

Hopefully, these Dupuytren’s pictures will be helpful to understand this problem.  Perhaps they can motivate you see your medical doctor, and then get busy with aggressive use of multiple conservative measures to improve your changes for self-recovery.  Please review the section, Dupuytrens Treatment, to determine how to incorporate the aggressive use of multiple conservative measures to treat the fibrous thickening.

Please let DCI know if this section of the website is helpful to you, and feel free to contribute your own Dupuytren contracture picture to DCI for inclusion on this page.

Picture of Dupuytren disease showing palmar nodoule or plam lump and pitting at base of 4th digit (ring finger) casused by collagen buildup below skin of palm

 

 

 

 

 

Dupuytren disease, left hand, well-defined cord of 4th digit (ring finger) causing flexion contracture

Dupuytren disease of 5th digit right hand, flexion contracture caused by palmar cord

 

 

 

 

 

Bump on palm of hand and contractures of fingers related to Dupuytren contracutre

Dupuytren's contracture of left hand, prominent palm lump or nodule, no apparent finger flexion contracture

 

Dupuytren contracture picture showing 4th and 5th finger, pinky and ring finger, contracture toward palm

 


Dupuytrens contracture photos demonstrating lumps on palms, fascial shortening,puckering, dimpling and thickening in the palm, with variable flexion deformity
of one or more fingers

For ideas and suggestions to organize an effective Alternative Medicine treatment plan using safe natural products like vitamin E, PABA and acetyl-L-carnitine) , click Start a Dupuytren Treatment Plan.

 

 

 

 

 

Dupuytren's contracture of 4th digit, ring finger, of man with history of hand trauma and genetic predisposition

 

 

 

 

 

 

 

 

 

 

 

 

 

Dupuytren's contracture of right hand, uncomon 3rd digit, middle finger, palmar cord deve

 

 

Dupuytren's contracture of left hand, ring fnger, 4th digit, palm lump or nodule well developed

 

 

 

 

 

Dupuytren's contracture, left hand, cord development with moderate finger contracture of ring finger

Dupuytren's disease, right hand, palm nodule or bump plus cord development at base of ring finger (4th digit)

18 thoughts on “Dupuytren Contracture Pictures

  1. Dan Korte says:

    I have had DC surgery on both of my hands in the past 6 mos. On my right hand just over a week ago, 2/19/2019 and still have the stitches.
    Thanks for the information as I found this interesting.

  2. Dr. Herazy says:

    Greetings Dan,

    Thanks of the comment. Please come back in a year or so and let us know how you are doing. There are many who are interested in outcomes of Dupuytren’s surgery. TRH

  3. Susan says:

    I have two lumps that have appeared over nine months ago in the palm of my left hand, my middle finger and ring finger are becoming more painful. My rheumatologist has told me its to do with having RA, not Dupuytren’s contracture. I was thinking of seeing my hand specialist, I also have had for over two years a frozen left shoulder with CRPS in it. Is there a connection? Will also the lumps get smaller?

  4. Dr. Herazy says:

    Greetings Susan,

    You ask some good questions. There are several possible problems going on concurrently, so this makes it more difficult to unravel each of them and to identify which might be more primary and those that might be secondary issue.

    Obvioiusly your rheumatologist should know what he/she is talking about in regard to your RA. But Dupuytren’s contracture might be not well known to him/her. I suggest seeing that hand specialist for a second opinion. Good luck TRH

  5. Rick Huber says:

    Had Dupuytren’s contracture surgery on right pinky. Two weeks later he wanted to graph finger and failed. Does any surgeon really know this disease? All plastic surgeons will give it a try but know very little, it appears. First surgeon jumped into cutting, then graph it. It would maybe bleed out he said. He did a graph, but it failed. Since then I have seen 4 Drs. Basically life with it now, the pinky is numb and bent at distal end of finger.

    I worked in operating rooms for 21 years. I have pictures of the finger every two days after surgery. I’ve seen 6 to 8 surgeries a DAY, five days a week. More than most Drs. Give me a Drs. name that does two a week and attends lectures and has devoted his time to this disease.

    My friend Dr. Ashworth, who has passed away, he would not touch anyone with Dupuytren’s contracture unless the tip of the finger was on the palm of your hand. With the back of his hand he would tell you go elsewhere. He pulled a tumor on inside finger. Try to find a scar. He had devotion to be excellent. He remembered his oath.

  6. Dr. Herazy says:

    Greetings Rick,

    Thanks for your excellent and insightful comments. Sounds like you have seen the dark side of the business of surgery in your time. I hope it makes a few people stop and pause before jumping into hand surgery.

    Sorry to hear that your Dupuytren’s contracture surgery did not go well.

    From my perspective, and just as you say, there are many surgeons who do Dupuytren’s surgery, but few who are great at it. DC is a difficult problem, and a complex operation to perform. The skill of the surgeon must be high for best results. Yet, few have devoted themselves to this level of skill. Hence, many outcomes are poor. The average person with DC has no idea what they are getting themselves into when they have that first surgery.

    I suggest you consider the DCI approach to simple therapy to see how much change in scar remodeling might happen for you. It is worth a try. Even a small amount of tissue reduction can make a big difference to how much pain and numbness you have. TRH

  7. Susan says:

    Thank you for your reply. I have been to see my hand surgeon who has confirmed I have Dupuytren’s Contracture in both hands and feels at the moment it’s mild but should a finger start to bend then surgery is a option. He feels that with all my ongoing issues, ie the CRPS in the shoulder and foot plus RA that treatment at this time would not really help. He did say that the shoulder issues could also have a bearing on my hand that have the nodules and I also have a large tendon swelling on the base of the foot running from the toe next to my small toe that also has CRPS.
    It’s funny that almost all I have read is men normally get it more than women, but I came from England and my father has it…..
    Thank you for your time.

  8. Christine says:

    I have a question. Does Dupuytren’s contracture ever happen to form on the sole of the feet? I have lumps in the palm of my hand and i have them in my feet as well. I did not notice the lumps in my palm until i recently had surgery for a comminuted fracture of the distal radius. I told my ot therapist of the lumps and she said it was from the surgery?

  9. Dr. Herazy says:

    Greetings Christine,

    Firstly, Dupuytren’s contracture is a fibromatosis of the palm of the hand. A fibromatosis is an excess and persistent amount of fibrous tissue (collagen and fibrin) in a local area of the body. Fibromatosis can also occur in the sole of the foot, and is called Ledderhose disease; fibromatosis of the penis is called Peyronie’s disease.

    Secondly, it is rather common that any of these fibromatoses to appear soon after trauma at or near the site of an injury or surgery; a shoulder injury, or surgery, can lead to Dupuytren’s contracture of the hand; an ankle, knee or hip injury, or surgery, can lead to Ledderhose disease of the foot; famously, a penis injury can lead to Peyronie’s disease of the penis. And this is why having surgery to correct one of these fibromatoses problems often leads to more fibromatosis. People who are genetically predisposed to fibromatosis run the risk of developing more problems with any type of surgery.

    What the OT told you is probably true based on her experience; she probably sees many people who develop Dupuytren’s contracture after any type of minor and major lower extremity injury or surgery. TRH

  10. Christine says:

    Wow thank you for responding very quickly. I felt so crazy asking about the foot. I am happy to hear it was not just in my head. Thank you.

  11. Teresa says:

    I first started having problems with my left shoulder around the age of 42 which began after I had taken a 12 week free weights class our the gym. I thought it was a torn rotator cuff or some such but turned out it was frozen shoulder. The doctor told me there was no known reason for frozen shoulder but that you would never see a woman under the age of 40 with frozen shoulder. So very painful. Within the same year I developed frozen shoulder in the right shoulder as well. My doctor at the time felt that along with the frozen shoulder I had a bit of impingement so he did surgery. A few years later I started running regularly and developed fibromatoses on the soles of both feet. And a couple years after that I began to have some arthritis in my fingers and eventually developed Dupuytren’s Contracture in my left hand and most recently it has developed on the right palm as well. Between the Dupuytren’s contracture and the osteoarthritis in my fingers I fear for where it will all lead and wonder if there is anything I can do to slow it down. My hand doctor I visited with about 5 years ago said all of these conditions were related.

  12. Dr. Herazy says:

    Greetings Teresa,

    Interesting history. I agree with your hand doctor; throughout all these different conditions you show a tendency to produce a greater amount of fibrin and collagen than average.

    That fibromatosis you developed on your plantar surfaces is called Ledderhose disease. It is a process very similar to Dupuytren’s contracture, the primary difference is the location where it appears.

    I work with several people with a history like yours. They benefit their genetic tendency to overproduce fibrous tissue by using the DCI protocol.

    You did not mention your age. I suspect you are somewhere in your early to mid 50’s. The younger you are, the more important it is to get ahead of your problem. The younger you are when you develop Dupuytren’s contracture, the more time you have to develop the characteristic contracture finger deformities. You want to do all you can to avoid this. Hand surgery for DC is not a walk in the park, and often leads to bad results simply because people like you tend to overproduce fibrous tissue when the hand is cut into.

    People who report back to DCI say that they get moderate to marked improvement of the DC in 8-10 cases, for every one person who reporets it does not help. Those are pretty goods odds you can help yourself. Please let me know if you have more questions. TRH

  13. Linda says:

    I’ve had Dupuytren’s contracture removal on my right hand six years ago. My pinkie was bent and I was told surgery would help it… in the past six months I’ve had it happen on my left palm. This time very painful! My pinkie is bending down and also outward. Should I have this done? It’s very painful.

  14. Dr. Herazy says:

    Greetings Linda,

    I cannot to tell you what to do. Keep in mind that surgery for Dupuytren’s contracture is never permanent. It is said that after hand surgery all DC will eventually return; sometimes it comes back in 10-15 years and sometimes as fast as a year or less. When the Dupuytren’s contracture returns it will be larger and more severe than it was the first time.. This is why most MDs will advise patients top not rush into surgery. You should go back to your hand surgeon and see what he/she thinks.

    Many people find that they can get improvement (partial to complete) of their DC by using the DCI natural treatment method, thus avoiding the need for surgery. I get 8-10 reports of moderate to marked success from people for every one report of failure when the DCI program is used as instructed. You might want to consider this option if you do not want to have more hand surgery.

    Let me know if you have more questions. TRH

  15. Janice says:

    Hi,
    I have yesterday found out that I have Dupuytren Contracture of the right hand. Although not severe at this stage, it has come on fairy quickly, only noticed it a couple of months ago and my GP has directed me to this sight which I am finding most helpful. My fingers are still straight and there is a little pain or discomfort involved.

    I was about to start taking a collagen supplement purely for vanity reasons as my skin is showing signs of aging wrinkles and after huge weight loss. I am 70. If the condition has a relation to Collagen, should I reconsider taking the supplement? I am otherwise in excellent health.

  16. Dr. Herazy says:

    Greetings Janice,

    Dupuytren’s contracture is not due to the level of supply of collagen in the diet. Collagen is manufactured in excess by the body regardless of the dietary supply; taking more or taking less will not affect Dupuytren’s contracture. The essence of the problem is that the body is manufacturing an inferior or flawed kind of collagen, and perhaps this is the reason that more and more is produced.

    It has long been the DCI concept that the use of the various therapies we suggest (PABA, acetyl-L-carnitine, stretching, ultrasound therapy, vitamin E,etc.) assists the body to improve and regulate the manufacture of collagen, and hence allow the excess inferior collagen mass to be removed from the palm. This concept has helped a reported 8-10 people get moderate to marked reduction of their Dupuytren’s contracture nodule, for every one report of failure. All of this happens without any side effects or recurrence reported since 2002.

    If your Dupuytren’s contracture is young, now is a good time to do something about it. Conservative treatment makes more sense than aggressive intervention that has a high incidence of side effects and recurrence after surgery. Please contact me if you have questions. TRH

  17. Melissa says:

    I have a hard lump at the base of my middle finger and my Dr. told me I have Dupuytren’s contracture. From what I learn on the DCI website, DC’s in the palm of the hand. Was I misdiagnosed? Or can it also be in that area? Also, my finger can bend freely. My Dr. Told me to soak my hand in warm water and then massage the lump and it should eventually go away. Is that true?

  18. Dr. Herazy says:

    Greetings Melissa,

    Several good questions, thanks.

    In general terms the base of the fingers include and are part of the palm of the hand. Therefore, Dupuytren’s contracture often occurs in the palm at the base of one or more fingers.

    You were probably not misdiagnosed. In the early stages of DC the fingers are freely movable, and only later as the condition progresses the mobility is restricted.

    Hot water soaking and massage are not effective against Dupuytren’s contracture. I suggest you look the site over and get into an early program to see if you can boost a healing response against your Dupuytren’s contracture. We get reports from 8-10 people of moderate to marked success over DC for every one report of failure. That’s pretty good, so check it out. TRH

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.