Finger Contracture Specialist

Tri-State Specialists

Orthopedic Surgery & General Surgery located in Sioux City, IA & Le Mars, IA

Finger contracture, also known as Dupuytren's contracture, can limit your ability to fully straighten your fingers and prevent you from doing simple everyday tasks. At Tri-State Specialists in Sioux City, Iowa, the experienced orthopaedic physicians offer advanced, personalized conservative and surgical options for all patients in the tri-state region. If you experience hand or finger abnormalities associated with finger contracture, schedule an appointment with Tri-State Specialists by phone or online today.

Finger Contracture Q&A

What is finger contracture?

Finger contracture (Dupuytren's contracture) is a hand deformity that can develop over time. It affects tissue layers under the skin in the palm of your hand, forming knots and thick cords that pull your fingers inward. The cause isn’t known, but genetics appear to play a role.

Finger contracture can keep your fingers in a bent position, preventing you from fully straightening them. Over time, simple everyday tasks, such as putting on gloves, shaking hands, and putting your hands in your pockets, can become difficult or impossible.


What are the symptoms of finger contracture?

The following signs and symptoms may indicate you have Dupuytren's contracture.

  • One or more small nodules or lumps in the palm of your hand
  • Formation of tough cords beneath the skin
  • One or more fingers pull toward your palm
  • Inability to fully straighten your fingers
  • Difficulty grasping objects
  • Thickened skin on the palm of your hand

Rarely, your thumb and index finger are affected by finger contracture, as it usually occurs in the fingers farthest away from your thumb.


What are the risk factors for finger contracture?

The following factors appear to increase your risk of developing finger contracture.

  • Family history of finger contracture
  • Genetics
  • Older age
  • Being a man
  • Northern European or Scandinavian descent
  • Alcohol and tobacco use
  • Having diabetes or a seizure disorder

If you’re at risk of developing finger contracture and you experience signs or symptoms of the disease, orthopaedic physicians at Tri-State Specialists are here for you.


How is finger contracture diagnosed and treated?

To diagnose finger contracture, your orthopaedic specialist reviews your symptoms and examines your hand. 

They might measure range of motion, test feeling in your thumb and fingers, and record the location of cords and nodules. Your doctor may suggest one or more of the following treatments.

Injections and needling

Steroid injections help reduce inflammation and may slow the progression of finger contracture. Enzyme injections soften and weaken tough cords to allow your fingers to straighten. Your doctor may use needling to puncture and break up cord tissue.

Physical therapy

When used in combination with injections, needling, or minimally invasive surgery, physical therapy at the on-site facility helps restore finger mobility.

Minimally invasive surgery

Your orthopaedist recommends conservative treatments first but understands the importance of minimally invasive surgery to fully restore finger and hand function. They use small incisions to minimize pain, bleeding, and recovery time.

Don’t live with a hand deformity when simple treatments are within reach. Schedule an appointment with Tri-State Specialists by phone or online today.