What is Dupuytren contracture?
Thickening of tissue beneath the palm can form cords that pull fingers inward. The ring and little fingers may be affected, and the condition can involve both hands. Not every difficulty straightening a finger is Dupuytren contracture; examination is needed.
What does the tabletop test show?
The clinician examines the palm and fingers and asks about daily activities. Placing the palm and fingers on a flat surface helps assess straightening. Difficulty laying the hand flat warrants assessment, but does not automatically mean surgery is needed.
When is treatment discussed?
Observation may be enough when symptoms are mild and hand use is preserved. When movement is affected, options depend on contracture severity and health, including tissue release or surgical removal in selected cases. Listing an option does not mean it is available or suitable for everyone.
What about recovery and recurrence?
Wound care and rehabilitation follow the team’s procedure-specific plan. Full straightening or strength may not return, and contracture can recur. Ask about bleeding, infection, altered sensation and the expected time before using your hand at work.
Why are both hands presented as one case?
Dr Haber confirms that both folders belong to the same patient, with the hands treated at different stages. Records cover examination and planning, early and around five-month right-hand follow-up, and around three-week left-hand follow-up. The movement videos show early right-hand follow-up; the two hands must not be treated as a before-and-after pair.