Dupuytren’s Contracture: A Comprehensive Update on Management Strategies, Ranging from Conservative Observation and Corticosteroid Injections to Minimally Invasive Needle Aponeurotomy and Collagenase Injection, and the Role of Limited Fasciectomy for Advanced Contractures
Dupuytren’s Contracture is a progressive myofibroblastic disease affecting the palmar fascia of the hand, leading to the formation of painless cords that eventually cause debilitating flexion contracture of the fingers, most commonly the ring and small digits. Treatment strategies for this condition are highly varied and tailored to the stage and severity of the contracture. Conservative management, often involving observation for stable disease, or corticosteroid injections for painful nodules, is appropriate for early stages. ****