Dupuytren’s contracture pictures show palm lumps and finger cords
Pictures of Dupuytren disease tell only part of the story
Dupuytren’s contracture pictures help to understand how terrible this hand deformity problem can be.
People read that nodules or lumps on the palms and one or more contractures of fingers are common in Dupuytren’s contracture. Nevertheless, that is difficult to imagine or understand what DC looks like. To appreciate this problem they need to see pictures of Dupuytren’s contracture. Understandably, in the early stages of Dupuytren’s contracture any person is very worried about the many small changes in the hand. Not knowing about a problem is often the worse part of a condition like this.
The gallery of Dupuytren’s contracture pictures that follow assists general knowledge about this disease process. Use these pictures of Dupuytren contracture for your general education. On the other hand, compare these pictures to your own situation, to see how bad the hand distortion can become.
Hopefully, after viewing these Dupuytren pictures you will feel perhaps relieved you are not so bad off in comparison to other people’s situation.
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Do not try to make a diagnosis of Dupuytren’s contracture with these pictures. If you have not yet visited your doctor for a formal diagnosis, you are encouraged to seek a doctor’s opinion about your problem.
The worse aspect of DC is not how the hand looks in a picture. Instead, the most important aspect of this problem concerns the usefulness of the hand. No picture can show 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 Dupuytren’s disease, it would be a good idea to review some of the basic information about it. It is important to keep in mind a basic understanding of the anatomy of the hand. With this in mind, a large fibrous lump on the palm of the hand can eventually limit hand functionality.
What is Dupuytren’s contracture?
Dupuytren’s contracture is a 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 loss of normal use and mobility of the hand and fingers occurs. Frequently this thickening and finger flexion shows a hereditary tendency within a family, but not always.
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. The most commonly affected finger is the ring finger, 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 straightening of the fingers difficult to impossible in the advanced stage of the disease.
Dupuytren contracture occurs more often after the age of 40. 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, from a metabolic standpoint, are alcoholism, diabetes, liver disease, and pulmonary tuberculosis. Also, drug treatment for epilepsy, and hair loss, are also factors to develop Dupuytren’s contracture.
Symptoms of Dupuytren
- Painless (usually) nodule or lump in the palm, developing into a cord-like band.
- Thickening and deepening of the lines in the palms.
- Extending the fingers is difficult – most often the 4th and 5th fingers curl up and are unable to be easily straightened. This prevents the open hand from lying flat on a tabletop.
- Difficulty using the hand for simple daily activities – washing, dressing, working, etc.
Signs and tests
Physical examination of the palm by palpation (touch) confirms the presence of thickened scar tissue and characteristic contracture. Restriction of full finger(s) range of motion is most common. Inability to fully flatten the palm during the table top test.
Prognosis or outcome
The disorder progresses at an unpredictable and variable rate. Sometimes progression takes only a few months. Other times Dupuytren’s contracture progresses slowly, taking a decade or more to develop fully. Surgical treatment can usually restore normal movement to the finger, usually for at least a tear or more, when performed by a skilled surgeon.
However, the disease will recur following surgery in a significantly high number of cases. This recurrence and worsening of the DC will usually take 3-5 years to appear. In about 5-10% of cases, the DC reappears faster, taking just a few months to reappear. And, in another 5-10% of cases, the DC reappears slower, taking perhaps 10 years or more to appear. Nevertheless, it always reappears.
Complications of Dupuytren surgery
The hand is one of the most complex and tightly packed areas of the body. Surgery of the hand is never simple or easy. Ideally, a specialized hand surgeon, with many years of experience, should be used for Dupuytren contracture surgery.
- Deformity of the hand due to additional scar tissue formation, and loss of normal tissue.
- Loss of hand function due to worsening of contracture.
- Risk of blood vessel damage during surgery.
- Risk of injury to nerves during surgery.
- Frequent need for skin grafts to repair damage.
- Return (recurrence) of Dupuytren contracture after surgery, worse than the original condition.
Dupuytren’s Contracture Pictures: Education and Wake-Up Call
Hopefully, these Dupuytren’s contracture pictures help to understand this problem. They should motivate you to see your medical doctor.
It is most important to get busy with aggressive use of multiple conservative measures to improve your changes for self-recovery. Please review the section, Dupuytrens Treatment, to learn about safe and effective natural treatment options from DCI. Learn how to incorporate the aggressive use of multiple conservative measures to treat the fibrous palm thickening.
Please let DCI know if this section of the website is helpful. Feel free to contribute your own Dupuytren contracture pictures to DCI for inclusion on this page.
Dupuytrens contracture photos demonstrating lumps on palms and fascial shortening. Puckering, dimpling and thickening are also shown in the palm, with variable flexion deformity of one or more fingers.
For information about Peyronie’s disease please see Peyronie’s Disease Institute.