Dupuytren’s contracture causes thickening of the palmar aponeurosis, the connective tissue layer located between the skin and the flexor tendons of the fingers.

The condition is more common in men and progresses gradually. Although the exact cause is unknown, heredity plays a significant role. Other risk factors include previous hand injuries, excessive alcohol consumption, smoking, diabetes, and hyperlipidemia.

The first sign of the disease is the appearance of firm subcutaneous nodules on the palm, which may be tender to the touch. As the disease progresses, these nodules spread toward the fingers and cause deformities of the fingers and palm.

These deformities lead to functional limitations and difficulty performing daily tasks, as the fingers can no longer fully extend.

The condition most commonly affects the ring, little, and occasionally the index finger.

Surgical treatment is the gold standard for Dupuytren’s contracture. It is recommended in cases of painful nodules and when deformities impair hand function. Surgery removes all thickened connective tissue in the palm and fingers, restoring mobility and improving overall hand function.

The procedure is performed under local or general anesthesia and takes 30–60 minutes, depending on the extent of disease. Postoperative discomfort is mild, and complications are rare.

Recovery takes about 14 days, during which hand activities must be adapted.

After wound healing and suture removal, local physiotherapy and scar massage are recommended.