Dupuytren's contracture is a condition where fibrous tissue in the palm gradually thickens and forms cords that pull one or more fingers into a bent position. It typically starts with small nodules — firm lumps in the palm — and progresses slowly over months or years. The ring and little fingers are most often affected, eventually making it difficult to flatten the hand or extend the fingers.
What is Dupuytren's contracture?
Dupuytren's is more common in men of Northern European descent, tends to run in families, and becomes more prevalent with age. Diabetes and alcohol use are associated risk factors. The condition itself can be slow to progress — some people live with nodules for years without meaningful contracture. Others progress to significant finger flexion that interferes with daily life: gripping a steering wheel, wearing gloves, washing hands, or shaking hands comfortably. When it gets to that point, intervention — usually needle aponeurotomy or a fasciectomy — is typically recommended.
