This article discusses facts and statistics about Dupuytren’s contracture—how common it is, who it affects, and the risk factors for this condition.
Dupuytren’s Contracture Overview
Dupuytren’s contracture (also known as Dupuytren’s disease) is a hand condition that occurs when tissue under the skin—called fascia—becomes abnormally thick. Nodules form and slowly grow into thick cords at the base of the fingers. Over time, the fingers can be pulled into a bent position. While this condition usually is not painful, it can cause significant difficulties with daily tasks.
Dupuytren’s contracture most commonly affects the ring finger, then the small (pinky) finger, followed by the thumb. However, it can affect other fingers as well.
How Common Is Dupuytren’s Contracture?
Dupuytren’s contracture is estimated to affect about 1% of the U.S. adult population. However, this number only reflects people who have seen a healthcare provider for treatment of their condition.
In the early stages of the disease, or if the fingers are not affected, treatment is not usually necessary. As a result, this condition is believed to be more common than reported.
In a worldwide sample of more than 6 million people, Dupuytren’s contracture was present in 8.2% of the sampled population.
Dupuytren’s contracture is twice as common in the right hand than in the left. However, around 80% of people with this condition will end up with symptoms in both hands.
Dupuytren’s Contracture by Ethnicity
In the United States, Dupuytren’s contracture is most common in White Americans of Northern European descent.
Less commonly, it affects the following populations in descending order:
Hispanic AmericansAfrican AmericansAsian Americans
Causes of Dupuytren’s Contracture and Risk Factors
The exact cause of Dupuytren’s contracture is not known. However, certain risk factors make it more likely for a person to develop this condition.
Dupuytren’s contracture often runs in families. Other possible risk factors for this condition include:
Smoking Prior trauma to the hand Occupations that require manual labor Blood circulation in the hand Long-term use of antiretroviral medications (drugs used to treat human immunodeficiency virus (HIV)) Long-term use of anticonvulsant medications (anti-seizure medications) Excessive alcohol consumption
Dupuytren’s contracture is also more common in people with certain medical conditions, including:
High cholesterol Diabetes Thyroid conditions Liver disease Other metabolic disorders
Screening and Early Detection of Dupuytren’s Contracture
There are no official screening tests for Dupuytren’s contracture. Early on, individuals with this condition typically notice nodules that have formed in their palms at the base of their fingers. Some people might not notice the condition until they are unable to straighten their fingers fully or place their hand flat on the table.
Dupuytren’s is diagnosed by a healthcare provider with a physical exam. No additional tests are needed, but in some cases, imaging such as X-rays or magnetic resonance imaging (MRI) might be performed to rule out other conditions.
Early detection of Dupuytren’s contracture does not prevent it from progressing. However, it could make a difference in treatment options available to help correct the deformity (nonsurgical versus surgical). Even with treatment, Dupuytren’s contracture can recur.
Summary
Dupuytren’s contracture (also called Dupuytren’s disease) is caused by abnormally thick fascia in the palm. Nodules develop first, then grow into thick cords of tissue. Over time, this can pull the fingers into a bent position. Around 80% of people with this condition will eventually have symptoms in both hands.
Dupuytren’s contracture affects about 1% of the population in the United States, but it is also likely that the condition is underreported. It most commonly begins in middle age and most often affects Caucasian adults of Northern European descent. Dupuytren’s contracture also runs in families.
