Hand & Wrist Care
Wisconsin Bone & Joint hand & wrist care
experts offer comprehensive services
to individuals with a wide range of
hand & wrist pain issues.
Hand & Wrist Specialists At Wisconsin Bone & Joint
The physicians at Wisconsin Bone & Joint utilize cutting-edge technology to assess, diagnose and work with patients to develop innovative treatment plans for a variety of hand & wrist conditions and injuries. Our team of physicians are committed to providing you with the best treatment options to alleviate your hand and wrist pain.
Providing trusted Orthopedic care in the community for over 40+ years
At Wisconsin Bone and Joint, we pride ourselves with providing you highly personalized and comprehensive orthopedic care. Our philosophy of direct physician-to-patient care means your physician will be an intrical part of every stage of your care. This commitment to a dedicated continuum-of-care model has made us one of the most trusted and respected practices in Southeast Wisconsin and greater Milwaukee area.
What Is Dupuytren’s Contracture?
Your hands and wrists are essential tools that allow you to work, play and perform everyday activities. How well the hand and wrist interact depends on the integrity and function of the ligaments, tendons, muscles, joints and bones.
Problems in any of these can affect upper extremity function, causing disruptions at home and work and negatively impacting quality of life.
The human hand itself is very complex and delicate in structure. At some time in life, you may experience hand or wrist pain.
Dupuytren’s contracture is a thickening of the fibrous tissue layer underneath the skin of the palm and fingers. Although painless, the thickening and tightening (contracture) of this fibrous tissue can cause the fingers to curl (flex).
Dupuytren’s contracture is more common in men than in women.
What Causes Dupuytren’s Contracture?
The cause of Dupuytren’s contracture is not known. It is not caused by an injury or heavy hand use.
There are factors that put people at greater risk for developing Dupuytren’s contracture.
- It is most common in people of Northern European (English, Irish, Scottish, French, Dutch) or Scandinavian (Swedish, Norwegian, Finnish) ancestry.
- It often runs in families (hereditary).
- It may be associated with drinking alcohol.
- It is associated with certain medical conditions, such as diabetes and seizures.
- It increases in frequency with age.
What Are The Symptoms of Dupuytren’s Contracture?
Dupuytren’s contracture symptoms usually occur very gradually.
One or more small, tender lumps (nodules) form in the palm. Over time, the tenderness usually goes away.
Bands of tissue
The nodules may thicken and contract, forming tough bands of tissue under the skin.
One or more fingers bend (flex) toward the palm. The ring and little fingers are most commonly affected, but any or all fingers can be involved. As the bend in the finger increases, it may be hard to straighten your finger. Grasping large objects and putting your hand in a pocket becomes difficult.
What Are The Treatment Options For Dupuytren’s Contracture?
There is no way to stop or cure Dupuytren’s contracture. However, it is not dangerous. Dupuytren’s contracture usually progresses very slowly and may not become troublesome for years. It may never progress beyond lumps in the palm.
If the condition progresses, nonsurgical treatment may help to slow the disease.
If a lump is painful, an injection of corticosteroid – a powerful anti-inflammatory medication – may help relieve the pain. In some cases, it may prevent the progression of contracture. Several injections may be needed for a lasting effect.
Splinting does not prevent increased bend in the finger. Forceful stretching of the contracted finger will not help either, and may speed the progression of contracture.
Surgery is recommended when your doctor has confirmed through measurements over time that the disease is progressing.
Some patients turn to surgical treatment when hand function is limited; they have trouble grasping objects or putting their hands in their pockets.
Surgery for Dupuytren’s contracture divides or removes the thickened bands to help restore finger motion. Sometimes the wound is left open and allowed to heal gradually. Skin grafting may be needed.
Some swelling and soreness are expected after surgery, but severe problems are rare.
After surgery, elevating your hand above your heart and gently moving your fingers help to relieve pain, swelling, and stiffness.
Physical therapy may be helpful during recovery after surgery. Specific exercises can help strengthen your hands and help you move your fingers.
Most people will be able to move their fingers better after surgery.
Our team is here for you
When conservative care and treatment is appropriate, we offer the best, least invasive, least aggressive treatment options to relieve your pain and discomfort. When an injury is more serious and conservative care is not an option, our orthopedic surgeons provide the latest in innovative surgical interventions available with the goal of getting you back to the life you love. Wisconsin Bone & Joint physicians offer orthopedic services at three convenient locations in Mayfair, Glendale and Cedarburg.