PLASTIC SURGEON DR. KEITH NEAMAN | PORTLAND, SALEM, + EUGENE, OREGON
If you have progressive bending of your fingers or rope-like cords in your palm you may have Dupuytren’s disease. Initially, Dupuytren’s disease may present as painless lumps in the palm or dimpling of the skin which is called pitting. Eventually, cords may develop which progressively tighten, pulling the finger into the palm.
Salem plastic surgeon Dr. Keith C. Neaman has extensive training and experience in the treatment of Dupuytren’s disease. To schedule your personal consultation, please call Neaman Plastic Surgery at 844-338-5445; if left untreated, progressive contracture of the finger can lead to decreased grip strength and permanent deformity of the fingers.
What causes it and who can get it?
The cause of Dupuytren’s disease is unknown. Often times it runs in the family and has a high prevalence in those with ancestors form northern Europe. This association has Dupuytren’s disease frequently being called the Viking’s disease. It is more common in men than women and usually presents in those over the age of 50 years old.
How does it present?
Dupuytren’s diseaes tends to be a progressive disease the may initially present as lumps or nodules in the palm. Slowly it may progress into the development of a cord. These are rope like collections of collagen that extend from the finger into the palm. As these cords tighten they may pull the finger into the palm causing a contracture. Usually the inability to lay one’s hand flat on the table is a good indication for intervention.
- Collagenase injection with Xiaflex
- Percutaneous aponeurotomy
- Surgical excision
Over the past decade the treatment of Dupuytren’s disease has drastically changed. In a majority of cases surgical excision has been replaced by the use of Xiaflex, a drug that dissolves the diseased tissue allowing the finger to straighten. This avoids all of the downtime associated with surgical excision and allows immediate correction of the deformity in a majority of cases. Additionally, percutaneous releases may be performed in the office decreasing the cost and morbidity of surgical excision. Dr. Neaman has received extensive training in a variety of treatment options allowing him to customize a treatment plan based on your symptoms, exam findings and personal expectations.
Dupuytren’s Disease Consultation
To learn more about non-operative and surgical treatment for a Dupuytren’s disease, please contact Neaman Plastic Surgery for your personal consultation. We welcome hand surgery patients from the greater Salem and Portland, Oregon, areas.