Dupuytren’s Contracture a condition that involves the tissue over the palm, in the flexible area of the skin near the base joints of the fingers

Learn About Treatment Options

“ I am a nurse practitioner and after 2 failed finger surgeries with another surgeon, I researched and found Dr Fitzmaurice.  Dr Fitz is excellent! I love his PA-Megan as well and the staff are all extremely professional and helpful.” - Ann R.

About Dupuytren’s




Dupuytren’s contracture is a condition that involves the tissue over the palm, in the flexible area of the skin near the base joints of the fingers. Abnormal tissue develops in this area of the joints and can extend into the fingers. This abnormality can cause pits, nodules, and cords to form leading the finger to be pulled inward towards the palm, which is known as a “Dupuytren’s contracture.”

Causes

Though, the cause of Dupuytren’s is unknown, there are several risk factors that are associated with this condition.

  • Gender – It is more common in men.
  • Ancestry – Individuals of northern Europe and Scandinavia are at greater risk.
  • Hereditary – It runs in families.
  • Age – Chances increase over the age of 40.
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Symptoms

  • One or more firm lumps or nodules in the palm
  • Nodules under the skin contracting creating dense and tough cords of tissue
  • Tissue under the skin tightens causes one or more of the finger to pull towards the palm (most commonly the ring and little fingers)

Treatment Options

There are a multitude of treatments depending on the stage of Dupuytren’s. In mild cases observation might only be necessary. As the disease progresses other treatment options are available here at the Fitzmaurice Institute. Steroid injections can be injected into the nodules and can slow the progression of the contracture. Needle aponeurotomy is another option that involves using a small needle to break up the thick cord in the area of the palm, which will then release the contracted finger allowing it to straighten. What is great about both of these options is that they are performed in-office or at our on-site surgical center and have instant relief.

As the disease gets worse it can become very painful and uncomfortable. It may become difficult to wash hands, wear gloves, put your hands into pockets, and shake hands with other people. The traditional surgical option is normally a fasciectomy where an incision is made in your palm and then the cord of tissue is divided. This helps reduce the contracture and increase the movement of the finger that is being pulled down toward the palm.

Dr. Fitzmaurice performs a minimally-invasive fasciectomy where 1-2 small incisions are made versus the typical fasciectomy where a large incision is made. These incisions are less than 1 centimeter in diameter and provides a softer and less painful scar. To reduce the chance of recurrence, accelerate healing, and improving scar tissue, patients are offered the option to incorporate stem cell treatment with this procedure.

EndoTech®

  • A tiny incision is made to remove the dead tissue, reducing the chance for recurrence
  • Allows light activity immediately and normal gripping function in 1-2 weeks
  • Removes the abnormal tissue, rather than just dividing it and leaving it in the hand
  • Significantly reduces the chance of recurrence
  • Provides a softer and less painful scar
  • May be performed under local anesthesia
  • May be performed at later stages of disease progression
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Typical Fasciectomy Approach

  • Large incision through the palm
  • Daily use of a splint for two weeks, followed by additional use of the splint at night for several more weeks
  • More pain and a longer recovery period
  • Has also been associated with some complications such as CRPS, hematoma and scar tissue formation








Studies have shown that this remarkable visualization significantly decreases surgical risks, with zero complications to date in over 4000 procedures performed. EndoTech® results in the least amount of pain and fastest recovery compared to other surgical techniques. This allows for a much higher success rate and a greater overall patient outcome.


Fitzmaurice Hand Institute
8841 E Bell Rd #201
Scottsdale, AZ 85260