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Dupuytren's contracture occurs when the connective tissue (fascia) in the palm and fingers thickens into nodules and cords. It can result in finger contractures
Dupuytren's typically presents with some of the following:
Clinical diagnosis
Treatment is not commissioned in cases where there is no contracture, and in patients with mild (less than 20°) contractures, or one which is not progressing and does not impair function
For these patients::
Splinting and corticosteroid injections are not of benefit
Treatment is not commissioned in cases where there is no contracture, and in patients with mild (less than 20°) contractures, or one which is not progressing and does not impair function.
Surgical intervention (needle fasciotomy, fasciectomy and dermofasciectomy) is commissioned for:
or
(For further information see link to the NHS Devon Dupuytren's Contracture Treatment commissioning policy)
Please refer using the e-Referral Service
NHS Devon Dupuytren's Contracture Treatment commissioning policy
MyHealth patient information - Dupuytrens
Dupuytren's Contracture patient information
This guideline has been signed off on behalf of NHS Devon.
Publication date: March 2017
Updated: March 2020