Thickening of the fibrous tissue layer underneath the skin of the palm and fingers including nodules/bumps.
Initial symptoms include itching, aching in the palm as one or more tender nodules form in the palm. Over time the tenderness subsides as the nodules thicken and contract forming tough bands under the skin. This fibrous bands cause the fingers to curl. Most commonly affected are the ring finger and little finger. The contracture is not dangerous and usually progresses very slowly and may not become troublesome for years.
Non-surgical: Steroid injections can relieve pain and may prevent the progression of the contracture.
Surgical: Surgery to divide or remove the thickened bands may be indicated if function is limited in order to restore finger motion. Approximately 20% of people will experience some degree of recurrence requiring further surgery.
Some swelling and soreness is expected after surgery. After surgery a specialised intensive course of hand therapy is required to assist in improving function and range of motion in the hand. This may need to be continued for up to six months with improvements out to nine months post-surgery.