Orthopaedic services
Dupuytren’s disease and surgery
Dupuytren’s disease can cause thickening in the palm, firm cords and progressive finger contracture. Assessment focuses on severity, hand function and whether treatment is appropriate at the current stage.
In brief
- Dupuytren’s often develops slowly over time.
- Treatment depends on contracture, hand function and how symptoms affect daily activities.
- Surgery may improve finger position but full correction cannot be promised.
Common reasons for referral
Palm thickening
Nodules or thickened areas may appear in the palm.
Cords
Firm cords can develop from the palm into the fingers.
Finger contracture
The finger may gradually bend and become harder to straighten.
What assessment involves
Assessment includes discussion of symptoms, hand function, work or hobbies, progression and previous treatment. Examination looks at which fingers are involved and the degree of contracture.
What is useful to bring
Referral notes, hand photographs if available, current medicines and previous treatment details are useful.
Treatment options
Early Dupuytren’s may be monitored if hand function is not affected. Treatment options depend on severity, progression, joint involvement and the practical impact on daily activities.
When surgery or a procedure may be discussed
Surgery may be discussed when contracture is affecting hand use or is likely to become more difficult to manage. The discussion includes risks, recovery, recurrence and realistic expectations.
Recovery and next steps
Recovery depends on the procedure and severity. Hand therapy, wound care and splinting may be part of care. The aim is practical improvement in hand position and use, while recognising that recurrence and stiffness can occur.
Funding requirements depend on the funder and clinical situation.
Make an appointment enquiry
For non-urgent appointment or referral questions, please contact the clinic.
Patient information
A one-page summary is available for patients and referrers. It is general information only and does not replace personalised advice.