Dupuytren’s contracture

Dupuytren’s contracture, which is more common in men than in women, is caused by thickening and tightening of fibrous tissue under the skin of the palm and the fingers.


Although no one is certain what causes it, Dupuytren’s contracture often runs in families, is more likely to affect you as you get older, and is more common in Northern Europeans. It has also been linked to drinking alcohol as well as to certain medical conditions including seizures and diabetes.


Symptoms, which develop over time, include:

  • Small, painful lumps (nodules) developing on the palm of the hand. These generally become less painful after a while
  • The nodules can become thicker, forming bands of tissue under the skin
  • As the condition progresses, the fingers curl towards the palm. This may affect just the ring and little fingers or all the fingers, making them difficult to straighten; it may also be difficult to hold large objects or put your hand in your pocket


After a discussion of your symptoms, your specialist will measure the amount of movement you have and record where the nodules are. These measurements are a benchmark so that, over time, any changes can be accurately recorded.


No treatment: in many cases, Dupuytren’s contracture develops slowly over many years and may not cause any problems that need to be treated.

Non-operative treatment: you may be offered a steroid injection of Xiapex (Collagenase) to dissolve the abnormal cord of tissue. This will usually allow an improvement in the contracture.

Surgery: if the disease is progressing and affecting your everyday life, you may be offered surgery to divide or remove the thick bands and improve your range of finger movement. In recurrent disease, removal of the skin and replacement with a skin graft is sometimes necessary.

Important: This information is only a guideline to help you understand your treatment and what to expect. Everyone is different and your rehabilitation may be quicker or slower than other people’s. Please contact us for advice if you’re worried about any aspect of your health or recovery.

This type of surgery is carried out to relieve nerve entrapment (cubital tunnel syndrome)
This procedure is used to release the ulnar nerve when it’s compressed at the elbow. The cubital tunnel sheath is cut and split into two, making the tunnel larger and releasing pressure on the nerve.
Arthroscopy allows surgeons to use a type of keyhole surgery to diagnose and treat joint problems.
Joint replacement is less common in the wrist than in other joints such as the knee or hip but can help if there is osteoarthritis or rheumatoid arthritis that has not improved with other treatments or surgery.

Stage one - Please fill out the details below.

Continue to payment

Stage two - Please confirm that the information below is correct and insert your payment details.

Patient ID:
{{ form.data.patientId }}
Invoice number:
{{ form.data.invoiceNumber }}
Patient Email address:
{{ form.data.patientEmail }}
Patient Mobile number:
{{ form.data.patientMobile }}
Amount payable:
£{{ form.data.amountPayable }}

Using our dedicated payment page is a safe and quick way to settle your invoice and will not save your card details on our system. Please contact the Fortius Billing Team on billing@fortiusclinic.com if you have any queries.

Pay £{{ amount }}

Thank you for your payment. We will allocate the payment against your invoice within the next day. If you need a receipt, or have any queries, please don’t hesitate to contact us via email at billing@fortiusclinic.com