Dupuytren’s disease describes a disease where in scarring beneath the skin occurs causing contraction of the fingers into the palm. This is a hereditary disease affecting adults in their 40’s and upward. The presence of scar in the palm itself does not demand intervention. However, any flexion of the fingers requires immediate attention to prevent long term deformity. A fasciectomy is indicated for Dupuytren’s contractures that result in flexion of the fingers. This involves direct excision of the scar tissue from underneath the skin to allow full extension of the digit. The recovery time is approximately two to four weeks during which time the sutures are removed, range of motion is improved and full activity is expected at approximately four to six weeks.
