Dupuytren’s disease
This is a contraction of dense connective tissue (fascia) in the hand. It most commonly involves the ring finger but can involve other fingers and the thumb. It has a strong genetic component and usually occurs in people with northern European ancestry, hence the nickname ‘Viking disease’. Patients often complain of an inability to straighten their fingers, this may cause difficulty with washing your face, or putting your hand in your pocket
Non-surgical treatment: Dividing the dense cord (needle fasciotomy) under local anaesthetic is suitable in some cases. This can be done in Dr McGonagle’s office.
Dupuytren’s fasciectomy
Dr McGonagle will make a zig-zag incision in your palm and finger so he can remove the diseased fascia and allow the finger to straighten. Sometimes a release of the joint capsule is also necessary.
Benefits: straight fingers
Risks: pain, swelling, bleeding, infection, recurrence, nerve/tendon injury
Anesthesia: General anaesthesia
Duration in hospital: 0.5 days
After Surgery
You may have a plaster slab keeping the finger straight for 2 weeks after surgery. You will have sutures removed with the practice nurse 2 weeks after surgery. You will be encouraged to massage the scar and mobilise the finger to minimize stiffness.
Dr McGonagle will review you in clinic 6 weeks after surgery.