Dupuytren's Contracture

Dupuytren’s Disease

Dupuytren's Contracture

Dupuytren’s Disease

Dupuytren`s disease treatment in Dubai

Dupuytren’s disease is a pathological change in the connective tissue of the hand (not the tendons) that occurs more frequently from the age of 50. This increases the formation of knotty and cord-like connective tissue in your palm and fingers. These knots and strands are palpable under the skin and continue to thicken and contract. As a result, the affected fingers stay in a bent position towards your palm. You can then no longer move them freely.

Why does Dupuytren`s disease occur?

In addition to hereditary predisposition (family history), some external factors such as diabetes, thyroid, alcohol, or hand injury may cause Dupuytren triggers.

What changes are caused by Dupuytren?

In the layer between the skin and the flexor tendons, nodular changes start,  forming thick, inflexible collagen strands connecting to one or two fingers. As a result, the fingers develop contracture and come in a bent form, unable to move freely. 

This disease usually develops over many years, and there is no pain. A “trigger finger” can develop as an early symptom. As the disease progresses, these growths spread further, and the fingers become crooked and can no longer be fully extended.

Some early symptoms of Dupuytren Disease include:

Palm skin turning pink and hard

One finger feeling stretched and stiff

The fibrous collagen band may become noticeable

The palpable band may be tender and painful on touch

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What are the consequences of M. Dupuytren Disease?

Since the bent develops gradually, initially, it might not be trouble, but later it may make even simple activities problematic. You might face trouble in writing, typing, or simply making fists. 

If you live in cold places, wearing gloves may become problematic with Dupuytren’s disease. Furthermore, putting your hands in your pockets might also trouble you.

How can you treat M. Dupuytren?

Typically, people with Dupuytren cannot keep their palms flat on the tabletop, and the palm is rounded. This is considered one of the easiest and surest tests for diagnosing Dupuytren’s Disease.

Depending on the functional impairment and the patient’s general condition, the following treatment options would be recommended: 

  1. Low-Dose Radiotherapy (LDRT) – The therapy can significantly reduce the activity of Dupuytren’s muscles in many patients.
  2. Surgery– The indication for surgical therapy is:
  • Impairment of finger mobility in the sense of a snap-finger phenomenon (“early symptoms of M. Dupuytren”)
  • Formation of a completely continuous and thick fibrous strand.


Prof Dr Robert Hierner, one of the best hand surgeons in Dubai, aims to devise adept hand surgeries to increase finger mobility and help manage Dupuytren Disease.

Special consultation : "Dupuytren Disease"

To help patients with Dupuytren Disease quickly and comprehensively, we have set up a special consultation  “Dupuytren”. Only a detailed doctor/parent discussion forms the basis for a successful individual treatment. 

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Patient Information

This patient information only gives a general introduction for a better understanding of aesthetic and medical surgeries. It cannot replace the personal and detailed doctor-patient discussion. To answer your questions about your personal, individual situation, arrange your non-binding personal consultation appointment.