The base of your thumb, your knuckles, second joint and top joint of your fingers are common sites for hand arthritis. Osteoarthritis, rheumatoid arthritis and psoriatic arthritis are common types.
Dupuytren contracture (also called Dupuytren disease) is an abnormal thickening of the skin in the palm of your hand at the base of your fingers. This thickened area may develop into a hard lump or thick band. Over time, it can cause one or more fingers to curl (contract), or pull sideways or in toward your palm.
The ring and little fingers are most commonly affected. In many cases, it affects both hands. Rarely, feet may also be affected.
Facts you should know about a Dupuytren’s contracture
You may be at greater risk for Dupuytren’s contracture if you:
Dupuytren contracture is believed to run in families (be hereditary). The exact cause is not known.
It may be linked to cigarette smoking, alcoholism, diabetes, nutritional deficiencies, or medicines used to treat seizures.
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 and little 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.
Common symptoms may include:
Not being able to lay your hand flat on a table, palm down (called the tabletop test)
One or more small, sore lumps (nodules) in the palm. Over time, the soreness usually goes away.
Diagnosing hand arthritis involves an evaluation and tests. Your doctor will check the joints in your hand for signs of OA.
In some cases, your doctor will also order an X-ray to look for cartilage loss and other signs of damage. This can indicate arthritis of the hand and that they should look for potential bone spurs and erosions.
Symptoms of hand Osteoarthritis can be similar to other joint conditions. Your doctor may also order blood tests, especially to exclude other types of arthritis like rheumatoid arthritis.
If nonsurgical treatments no longer provide relief and the cartilage at the ends of your bones has worn away, surgery may be an option. Surgical treatment for hand arthritis includes fusing the bones on the sides of the arthritic joint together, or reconstructing the joints.
There are several approaches:
Joint fusion (arthrodesis): This surgery uses a plate and screws to keep the bones of your joint together. You’ll have a more stable, pain-free joint, but will have limited flexibility and movement.
Joint replacement (arthroplasty): Similar to other joint replacements, surgeons use an artificial implant made of plastic, ceramics, silicone or metals to replace your damaged joint. Keep in mind that hinged finger implants don’t mimic normal finger movement.
Tendon transfer: Tendons connect muscles to bones. The tendons that control your fingers attach to muscles in your palm and forearm. Ongoing inflammation from arthritis can cause tendons to rupture. If this happens, a portion of a healthy tendon can be used to restore your hand function.
You and your surgeon will discuss which surgical approach might be best for your hand considering your age, activity level, the joint(s) affected and the amount of pain and deformity you’re experiencing.
You may need a cast or splint after surgery to protect your hand while it’s healing. Your surgeon may refer you to a hand therapist. Your provider will likely prescribe pain medication to take for a limited amount of time to reduce discomfort.
It is our goal at Station L to ensure that your entire experience from the initial consultation to your recovery is as positive and comfortable as possible. Your plastic surgeon and surgical coordinator will go over your post-operative instructions and recovery with you as it is essential for your Hand surgery results that you follow care instructions closely.
You will have a soft dressing that covers your hand and part of the finger that was released. You can expect your operative finger, and perhaps its neighbors, to be numb from the local anesthetic for about 24 hours.
Our office is always available for questions via email or text message should more questions arise.
To learn more about Dupuytren contracture, or to book a consultation, please contact our Clinic today!
Dr Arash Izadpanah is one of the best Hand surgeons in Montreal. He will work closely with you to help you achieve your ideal results.
What to expect when having a Dupuytren contracture Surgery with Dr Izadpanah?
Prior to booking your Dupuytren contracture surgery with Dr Izadpanah, you will have a consultation with him at the location that is most convenient to you (please contact his office to find out where).
If you are unable to meet Dr Izadpanah in person, you may request a Skype or Facetime consultation.
Dr Izadpanah will collaborate closely with you to determine the best plan of action for you. You will go over the risks and recovery together, as well as what your desired result is. It is extremely important to Dr Izadpanah that you make informed choices, and that you are on the same page regarding outcome expectations.
Only you can decide what your version of a beauty ideal is, so Dr Izadpanah will discuss this with you so that you will be happy with your Dupuytren contracture surgery. You are encouraged to bring in photos of what you are expecting so that it can be discussed, as well as a list of questions and/or concerns to your appointment.
Dr. Arash Izadpanah is a passionate and enthusiastic plastic and reconstructive surgeon who is dedicated to patient care and satisfaction with natural-looking cosmetic surgery results.
As a highly esteemed plastic surgeon, Dr. Arash Izadpanah is driven by an intense passion for helping patients achieve a happier, more beautiful self through advanced cosmetic surgery procedures. He maintains a strong commitment to achieving the best possible results for all his breast, body, face and hand patients, both men and women.
We believe plastic surgery can achieve beautiful yet subtle results that accentuate your natural contours.
Schedule a consultation today to learn how Dr. Arash Izadpanah can empower you to take control of your look.
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