Dupuytren Contracture (cont.)
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Jerry R. Balentine, DO, FACEP
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
In this Article
- Dupuytren's contracture facts
- What is a Dupuytren's contracture?
- How fast does a Dupuytren's contracture develop?
- What are the causes and risk factors of a Dupuytren's contracture?
- What are the symptoms and signs of a Dupuytren's contracture?
- Is a Dupuytren's contracture limited to the hands?
- How is a Dupuytren's contracture diagnosed?
- What is the treatment for a Dupuytren's contracture?
- What are complications of Dupuytren's contractures?
- Can a Dupuytren's contracture be prevented?
- What is the prognosis (outlook) for Dupuytren's contracture?
- Find a local Orthopedic Surgeon in your town
What are the causes and risk factors of a Dupuytren's contracture?
A Dupuytren's contracture can be inherited. In medical terms, the inherited form of a Dupuytren's contracture is transferred in the family as a so-called autosomal dominant trait with incomplete penetrance and partial sex-limitation. This means that the gene for a Dupuytren's contracture is not on an X or Y chromosome (sex chromosome) but on one of the other 44 chromosomes. Consequently, one version of the gene is enough to cause the disorder (it is dominant), but not everyone who has the gene has the disorder (the gene is not fully penetrant), and the disorder is most frequent in males (the gene expression is partially limited to males).
Typically, a Dupuytren's contractures occur in males over the age of 50.
What are the symptoms and signs of a Dupuytren's contracture?
A Dupuytren's contracture initially may cause only a minor painless lump in the palm of the hand near the base of the finger(s). A Dupuytren's contracture most commonly affects the ring (fourth) finger, but it can affect any finger. A Dupuytren's contracture can also affect one or both hands.
As a Dupuytren's contracture progresses, it can lead to an inability to fully extend the affected finger from the flexed position. This can result in a loss of normal grasping.
A Dupuytren's contracture is seldom associated with much, if any, pain unless the affected fingers are inadvertently forcefully hyperextended.
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