Dupuytrens Disease

What is Dupuytren’s Disease?

 

Dupuytrens Disease is a disorder in which scar – like tissue forms beneath the palmar skin of the hand.  The tissue thickens over time and spreads into adjacent digits.  Although progression can vary greatly, one typically notes eventual tightening of the diseased tissue which caused fingers to acquire a bent posture.  The disorder tends to run in families, and is most prevalent in people of Northern European dissent.

 

When and how is Dupuytren’s Disease treated?

 

Treatment for Dupuytrens Disease is often delayed until finger flexion becomes significant.  Surgical removal of the diseased tissue remains the mainstay of treatment.  However injections of  a medicine called Xiaflex  has shown promising results over the last few years.  Dr Steven Shoen has extensive experience in the treatment of this condition.  While on staff at Stony Brook Medical School Dr. Shoen ran the Hand Clinic at the Northport Veterans Hospital where he cared for a large population of patients with Dupuytren’s disease.  Dr. Shoen has been trained and credentialled in the administration of Xiaflex to medically break up Dupuytren’s Bands.

 

Can Therapy or Splinting prevent the progression of Dupuytren’s disease?

 

Therapy for the most part cannot halt the progression of disease.  However, following surgery or use of Xiaflex Hand Therapy is essential to restore and maximize hand function.  Dr. Shoen works in concert with the office Hand Therapist, Ms. Leah Rubino, planning surgical treatment, use of Xiaflex,  post-treatment splinting, and exercises to provide patients with the best possible functional outcome.