Dupuytren’s Disease in Everett, Washington

Dupuytren’s contracture is the result of progressive deposition of collagen in the palm and the fingers that can eventually lead to the inability to fully straighten a finger. The cause of this is unclear, but it seems to be due at least in part to a person’s genetics. The contracture presents itself as a tight cord in the palm that attaches to the base of the finger. Traditionally, treatment has involved large incisions on the palm and surgical removal of the entire cord. Recent advances have allowed us to treat this condition with less invasive techniques. A popular form of modern treatment involves the injection of an enzyme that is designed to break down the collagen in the cord. A few days after the injection, the patient is seen in clinic where, under local anesthesia, the cord is manipulated and broken, allowing the finger to fully straighten. If the finger has been contracted for a long period of time, there may be stiffness in the joint that requires further surgery down the road. As always, our surgeons will have a thorough conversation at the time of your consultation regarding your surgical options and their associated risks and benefits.”

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