Dupuytren's Contracture Treatment in Portland, OR
Dupuytren's contracture is a progressive hand condition characterized by thickened palm tissue that gradually pulls fingers inward, limiting hand function and grip strength. Dr. Sam Bartholomew, MD, FACS specializes in treating Dupuytren's contracture with surgical techniques that restore hand function and improve flexibility.
What is Dupuytren's Contracture?
Dupuytren's contracture (also called Dupuytren's disease) occurs when a layer of connective tissue in the palm (the palmar fascia) becomes abnormally thick and tight. This tissue forms knots and cords that gradually pull the fingers inward, most commonly affecting the ring and pinky fingers.
The condition develops gradually over months or years and is more common in men, particularly those of Northern European descent. While the exact cause is unknown, genetics and certain factors like smoking, alcohol use, and diabetes may increase risk.
Symptoms and When to Consider Treatment
Early signs include:
- Thickened tissue or small knots in the palm
- Tightness in the palm when making a fist
- Fingers gradually bending inward
- Difficulty straightening your fingers
- Reduced grip strength
- Inability to place your hand flat on a table
Consider surgery if:
- The contracture limits your hand function or daily activities
- You cannot place your palm flat on a table
- The contracture prevents you from working or engaging in hobbies
- Conservative treatment has not slowed progression
The Dupuytren's Contracture Treatment Procedure
During your consultation, Dr. Bartholomew will examine your hand and discuss treatment options. Treatment depends on the severity and progression of your condition.
For surgical treatment, the procedure is performed as an outpatient surgery under local or general anesthesia. Dr. Bartholomew will:
- Make an incision in the palm and/or affected fingers
- Remove or release the thickened tissue cords that are pulling the fingers inward
- Carefully preserve nerves, blood vessels, and tendons
- Close the incisions
- Apply a protective dressing
The procedure typically takes 1-2 hours depending on the extent of the contracture.
Recovery Timeline
Recovery from Dupuytren's contracture surgery varies based on the extent of the procedure:
- Days 1-3: Rest, elevation, and ice for comfort
- Week 1-2: Return to light activities; gentle finger movement begins
- Weeks 3-6: Progressive hand therapy to restore flexibility and strength
- 6-8 weeks: Most patients have regained significant hand function
- 3-6 months: Optimal results as swelling subsides and flexibility improves
Hand therapy is often an important part of recovery to maintain finger extension and prevent re-contracture.
Why Choose Dr. Bartholomew for Dupuytren's Contracture Treatment?
As a board-certified plastic surgeon with extensive hand surgery training, Dr. Bartholomew understands the complex anatomy of the hand and uses meticulous surgical technique to remove contracted tissue while preserving critical structures. His approach focuses on restoring both function and appearance.
See Real Patient Results
From restoring hand function to regaining the ability to place hands flat, we've helped many patients overcome Dupuytren's contracture. Explore our gallery.
Schedule Your Dupuytren's Contracture Consultation Today!
Are you experiencing finger contracture or palm tightness affecting your hand function? Contact Samuel V. Bartholomew, MD, FACS to discuss treatment options. Dr. Bartholomew will evaluate your condition and recommend the best approach.
Frequently Asked Questions
How much does the surgery cost?
The cost of Dupuytren's contracture treatment varies based on the extent of the disease and the surgical approach used. Since this condition affects hand function, surgery is typically covered by insurance. We'll provide a detailed cost estimate during your consultation and help verify your insurance coverage.
Is this covered by insurance?
Yes, Dupuytren's contracture treatment is typically covered by insurance because it restores hand function and corrects a functional limitation. Insurance classifies this as reconstructive surgery because it addresses a medical condition affecting hand use.
What is the recovery time?
Initial recovery typically takes 2-3 weeks, with gradual return to normal hand use over 6-8 weeks. Hand therapy is often recommended to maintain finger extension and flexibility. Most patients can return to light activities within a week or two.
Can the contracture come back?
While some patients may experience recurrence of Dupuytren's contracture in the years following surgery, Dr. Bartholomew uses comprehensive surgical techniques to minimize this risk.