Partial Fasciectomy for Dupuytren’s Contracture

This patient noted progressive contracture of her right and left hands involving primarily the small finger and secondarily the ring finger.  The contracture was not particularly painful but inhibited activities and was cosmetically displeasing.  A partial fasciectomy with small finger PIP joint capsulotomy was performed on the right and a similar procedure performed on the left at a later date.  She progressed through therapy and gained full painless motion with resolution of the contractures.  Of note, her brother had a similar problem and recently underwent surgery in a different city to correct his deformity.

These images show the right hand contracture before surgery, and the result after surgery.  The diseased tissue was removed.  The same outcome was obtained for the left hand and represents the typical result.  Often the contracture is much more severe and yet the final product is predictably very good.