Dr. Dagmar Rehse, MD, a hand surgeon with The Everett Clinic discusses Dupuytren’s contracture

So Dupuytren’s contracture is a condition
that is abnormal growth of normal tissue in the palm. So we all have in the palm, a tissue called fascia. And that fascia is made up of cells called
myofibrils and those, in the case of Dupuytren’s, they reproduce it in irregular or unusual manner. They don’t stop
replicating when they’re normally supposed to. It will cause what are called pits and
cords in the hand which are the way most people discover it initially. So they’ll have irregular growths in
their palms and some pits where the tissue gets pulled
in. It contracts the issue as it continues to grow. So it pulls the finger
down. So as your finger gets pulled down if
you’re not pulled down to more than 30 degrees
at either of your joints, then we wait. You don’t want to operate on Dupuytren’s contractures when they’re what we call
immature because the disease is very aggressive
at that point. It can actually cause a quick and aggressive recurrence. So a 30 degree contracture
at the metacarpal phalangeal joint Mostly happens in the ring
finger, so it’s probably something like this. The p-i-p is something like this. The best
way to evaluate that is what we call the tabletop trick. If you can’t lay your hand
flat on a table any longer because of contractures
here than that’s a good indicator that it’s time
to see a hand surgeon and get evaluated for that.

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