Fingers That Curl: A Review of Etiology, Conservative Versus Surgical Interventions, and Recurrence Management for Dupuytren’s Contracture
Dupuytren’s Contracture is a progressive, disabling hand condition characterized by the formation of tough cords of connective tissue under the skin of the palm, causing one or more fingers to bend permanently toward the palm. Although typically painless, this fibrous thickening significantly limits hand function and can severely impact a patient's ability to perform daily tasks, with the ring and little fingers most frequently affected by the progressive flexion deformity.
Treatment options range from non-surgical interventions like collagenase injections and needle aponeurotomy to various forms of reconstructive hand surgery aimed at releasing the contracting tissue to restore finger extension. The discussion should compare the advantages and disadvantages of each method, especially in terms of long-term functional recovery and the common challenge of disease recurrence.