Dupuytrens Contracture

Introduction

Dr. Chaitanya Karande, a distinguished Hand Surgeon in Pune, specializes in the treatment of Dupuytren’s Contracture. In this comprehensive guide, we will explore the key aspects of this condition, including its anatomy, diagnosis, causes, and recovery, under the expertise of Dr. Chaitanya Karande.

Anatomy of Dupuytren’s Contracture:

Dupuytren’s Contracture primarily affects the hand, particularly the palm, and fingers. It involves the thickening and tightening of the connective tissue beneath the skin, forming nodules or cords. As the condition progresses, these cords pull the fingers towards the palm, causing flexion contractures. The most commonly affected fingers are the ring finger and little finger, although any finger can be involved.

Diagnosis of Dupuytren’s Contracture:

Dr. Chaitanya Karande employs a comprehensive approach to diagnose Dupuytren’s Contracture. He begins with a thorough physical examination, assessing the nodules and cords, as well as the extent of finger contracture. Dr. Chaitanya Karande may also request additional diagnostic tests, such as imaging studies or ultrasound, to gain a clearer understanding of the condition’s severity and plan the most appropriate treatment.

Causes of Dupuytren’s Contracture:

The exact cause of Dupuytren’s Contracture remains unknown. However, several factors are believed to contribute to its development. These include genetic predisposition, family history of the condition, advancing age, male gender (more common in men), certain medical conditions (e.g., diabetes, epilepsy), and lifestyle factors such as tobacco and alcohol use. Dr. Chaitanya Karande will conduct a comprehensive evaluation to determine the underlying factors contributing to the development and progression of Dupuytren’s Contracture.

Treatment and Recovery

Dr. Chaitanya Karande provides tailored treatment plans for Dupuytren’s Contracture, aimed at relieving symptoms, improving hand function, and preventing further contracture progression. The treatment approach may vary depending on the severity of the condition and individual patient factors. Here are some common treatment options:

1. Non-Surgical Interventions:

• Observation and monitoring for mild cases with no functional impairment.
• Hand therapy and exercises to maintain finger mobility and flexibility.
• Steroid injections to reduce inflammation and alleviate symptoms.

2. Minimally Invasive Procedures:

• Needle Aponeurotomy: Dr. Karande uses a needle to release the contracted cords, allowing improved finger extension. This procedure is performed under local anesthesia.
• Collagenase Injection: An enzyme injection is administered to dissolve the cords and improve finger movement. This treatment is suitable for select cases and is performed under close medical supervision.

3. Surgical Intervention:

• Fasciectomy: In advanced cases, Dr. Karande may recommend surgery to remove the thickened tissue and release the contracted cords. The extent of surgery will depend on the severity of the contracture.
• Dermofasciectomy: In some cases, skin grafting may be required to reconstruct the affected area after the removal of the diseased tissue.

Recovery and Rehabilitation:

Following any treatment modality, rehabilitation plays a crucial role in achieving optimal outcomes. Dr. Chaitanya Karande emphasizes the importance of post-treatment rehabilitation, including hand therapy and exercises, to improve the range of motion, restore function, and prevent contracture recurrence. The duration of recovery and rehabilitation varies depending on the treatment provided and individual healing factors. Dr. Chaitanya Karande closely monitors the progress and provides personalized guidance throughout the recovery process.

Consult Dr. Chaitanya Karande for Dupuytren’s Contracture:

If you are experiencing symptoms of Dupuytren’s Contracture

or seeking specialized treatment, schedule a consultation with Dr. Chaitanya Karande, a reputable Hand Surgeon in Pune. With his expertise, advanced treatment options, and patient-centered approach, Dr. Chaitanya Karande aims to provide effective solutions and restore hand function, enabling you to lead a more fulfilling life.