» Treatment & Options
In some cases, only observation is needed for nodules and cords that are not contracted.
Patients with more advanced contractures may require surgery in order to improve function.
Various surgical techniques are available in order to correct finger position. Your treating
surgeon will discuss the method most appropriate for your condition based upon the stage
of the disease and the joints involved (see Figure 4). The goal of surgery is to improve finger
position and thereby hand function. Despite surgery, the disease process may recur and the
fingers may begin to bend into the palm once again. Before surgery, your treating surgeon
will discuss realistic goals and results.
Specific surgical considerations:
- The presence of a lump in the palm does not mean that surgery is required or that the disease will progress.
- Correction of finger position is best accomplished with milder contractures and contractures that affect the base of the finger. Complete correction sometimes can not be attained, especially of the middle and end joints in the finger.
- Skin grafts are sometimes required to cover open areas in the fingers if the skin is deficient.
- The nerves that provide feeling to the fingertips are often intertwined with the cords.
- Splinting and hand therapy are often required after surgery in order to maximize and maintain the improvement in finger position and function.
