Dupuytren’s disease is a disorder that causes proliferation of abnormal tissue originating from existing normal structures of the hand and fingers. The cause remains unknown, the presentation and course is diverse, and diagnosis can be difficult in the early stages.

The abnormal tissue may appear as nodules in the palm, or cord-like structures starting in the palm and progressing into the fingers. Typically, these cords shorten with time, leading to joint and soft-tissue contractures.

Dupuytren’s disease cannot be cured, however a number of treatment options are available for patients who experience symptoms or functional difficulty related to the disease. Early assessment and education will ensure timely application of the most appropriate treatment for your hands.

For patients with early or static disease with minimal contracture or functional compromise, observation is appropriate. A range of non-surgical treatments are available and may be appropriate for your disease. Surgery is generally indicated for advanced contractures, (particularly those that interfere with one’s function) and disease recurrence. There are various surgical techniques for treating the disease, the choice of which will be based on the nature of your presentation.

It is likely that you will develop a longstanding relationship with Dr Tolerton for the management of Dupuytren’s disease. As a frequently discussed condition in the global hand surgery literature, we know treatment and rehabilitation can be challenging, prognosis is variable and there is always the potential for recurrence. It is important therefore that your disease is assessed and managed by a hand surgeon with specialised experience in managing the condition.