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Dupuytren's contracture & trigger finger

Contractura Dupuytreni et digitus saltans · Dupuytrenova kontraktura a lupavý prst

What it is

Thickened palmar fascia bends fingers in; a thickened tendon sheath catches one shut.

Symptoms & signs

  • A firm cord in the palm
  • fingers that will not straighten
  • catching or locking of a finger
  • worse in the mornings

🚩 Get help if…

  • see a doctor soon Finger that cannot be laid flat on a table
  • see a doctor soon Finger locked bent that cannot be straightened
  • see a doctor soon Hot, red, swollen finger or palm
  • see a doctor soon Numbness or loss of blood flow in a finger after surgery

Where it strikes

Medical treatment

  • Steroid injection for trigger finger
  • needle fasciotomy or collagenase
  • limited fasciectomy
  • percutaneous release

Natural & lifestyle

  • Stretching and hand therapy
  • avoid repetitive gripping during a flare
  • night splints

Emerging & experimental

  • Anti-TNF injection trials for early Dupuytren
  • radiotherapy for early nodules

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Vitamin E cream and DMSO — anecdotal anecdotal / traditional
  • Massage and stretching — may ease symptoms; no effect on the cord shown anecdotal / traditional

ICD codes