Understanding Dupuytren’s Contracture
Dupuytren’s contracture is a benign condition that affects the connective tissue beneath the skin of the palm and fingers. Over time, this tissue can thicken and tighten, forming cords that gradually pull one or more fingers into a bent position. While not cancerous, Dupuytren’s contracture can interfere with hand function and daily activities.
At Radiant Cancer Care, radiation therapy may be considered in early-stage Dupuytren’s contracture to help slow disease progression and reduce the development of contractures before significant finger bending occurs.
Dupuytren’s contracture most commonly affects the ring and little fingers and is more prevalent in men, particularly with increasing age or a family history of the condition.
Common Symptoms of Dupuytren’s Contracture
Symptoms often develop gradually and may include:
- Firm nodules or lumps in the palm
- Thickened cords beneath the skin
- Tightness or pulling sensation in the fingers
- Gradual bending of one or more fingers toward the palm
- Reduced hand flexibility or grip strength
Early symptoms may be painless, which is why early evaluation is important.
Diagnosis: What to Expect
Diagnosing Dupuytren’s contracture typically involves:
- Medical history & physical exam: Assessment of nodules, cords, and finger mobility
- Functional assessment: Evaluation of hand strength and range of motion
- Clinical staging: Determines whether the condition is early or advanced
- Referral consideration: Orthopedic or hand specialist input when appropriate
Radiation therapy is generally considered only in early, active stages—before fixed finger contractures develop.
