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Can Surgery To Treat A Trigger Finger Lead To Dupuytren’s Contracture?
Question: I had trigger finger surgery on my left thumb and middle finger in October. I ended up with a 20% Dupuytren’s contraction in the middle. I developed cellulitis and had a surgical drainage and debridement and an assessment of the middle finger. I was unaware I had Dupuytren’s until after the surgery, and I have it in both hands. I need trigger finger surgery on my right thumb, too. What are the odds that it could cause another flare up? My left hand is my dominant hand., but I use my right hand for many things. I had a steroid injection in the middle finger which helped but still leaves me with impaired use of that hand. My right thumb limits the use of my right hand. What are the odds that the Dupuytren’s will flare up in the right hand? Also, what treatments are the most effective and have the best long term prognosis for relief? I know there is no cure and that it can come back.
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
May need medical therapy with xiaflex or collegenase clostridium
Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.
Based on the history you have shared, exact odds can't be predicted however keeping the tendency of developing contractures and trigger fingers chances of developing long term complications does exist as many factors including genetic predispose towards developing these in individuals who have increased tendency of thickening in underlying skin layers or palmar fascia.
Triggers are generally not known specifically but modifiable factors which can be prevented include avoiding smoking and using hands for stiff or hard works or lifting wieghts etc.
Brief Answer:
Yes sure you can discuss these options
Detailed Answer:
Hi! Yes you can surely discuss these options with your hand surgeon. Regards
You need to have a close follow up with your orthopedic doctor and medical options like use of xiaflex or collegenase clostridium hemolyticum and agent which decreases developing of fibrous bands due to slowness of fiber formation or dissolution or softening of the existing ones.
Radiotherapy is also seen to be beneficial in some cases. But surgical correction will be unavoidable if the contractures are interfering with your daily performance or tasks handling.
Hope I have answered your query. Let me know if I can assist you further.
May need medical therapy with xiaflex or collegenase clostridium
Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what you had been going through lately.
Based on the history you have shared, exact odds can't be predicted however keeping the tendency of developing contractures and trigger fingers chances of developing long term complications does exist as many factors including genetic predispose towards developing these in individuals who have increased tendency of thickening in underlying skin layers or palmar fascia.
Triggers are generally not known specifically but modifiable factors which can be prevented include avoiding smoking and using hands for stiff or hard works or lifting wieghts etc.
Brief Answer:
Yes sure you can discuss these options
Detailed Answer:
Hi! Yes you can surely discuss these options with your hand surgeon. Regards
You need to have a close follow up with your orthopedic doctor and medical options like use of xiaflex or collegenase clostridium hemolyticum and agent which decreases developing of fibrous bands due to slowness of fiber formation or dissolution or softening of the existing ones.
Radiotherapy is also seen to be beneficial in some cases. But surgical correction will be unavoidable if the contractures are interfering with your daily performance or tasks handling.
Hope I have answered your query. Let me know if I can assist you further.
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you for your detailed answer. I’m interested in knowing more about how the collegenase clostridium hemolyticum acts to decrease the bands. I’ll be talking to my hand surgeon this week and want as much information as I can get.
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