Comprehensive Care

At MedStar Orthopaedic Institute, our hand surgeons are fellowship-trained and have years of experience in hand and wrist care. We provide the most advanced treatment options for Dupuytren’s contracture in the region, including surgery. Our physicians take the time to speak with every patient personally, learning about the specifics of your condition before making a diagnosis. We then spend time explaining your condition to you and recommending possible treatment options so you can make an informed decision. After your treatment, we work alongside other MedStar specialists to ensure that you have access to any additional treatment or recovery care you may need.

What is Dupuytren’s contracture?

Sometimes referred to as Viking’s disease or Dupuytren’s disease, this condition is an abnormal thickening of the tissue between the skin and the tendons in the palm. This may limit the use of one or more fingers or eventually cause the fingers to be pulled in toward the palm in a bent position.

What are the causes?

It is a hereditary condition and the cause is not known. It is more common in men over the age of 50 and can appear later in women.

What are the symptoms?

The first sign of the condition is usually a small lump or nodule in the palm, often occurring in the crease of the hand that is closest to the base of the ring and little fingers. Another indication is that at a certain point, the palm cannot be placed flush with a flat surface such as a table. As the disease progresses, the involved finger is drawn toward the palm by the band of fibrous tissue that forms there.

How is Dupuytren’s contracture diagnosed?

Our experienced physicians at MedStar Orthopaedic Institute can diagnose and treat Dupuytren’s contracture after a thorough evaluation, including:

  • Medical history evaluation – During an initial evaluation, your doctor will ask you about your symptoms as well as past relevant medical issues.
  • Physical exam – Your orthopedist will spend time evaluating the affected area and asking you about your pain level and location.
  • Imaging tests – When needed, diagnostic imaging may be used to rule out other conditions and to see the condition of your fingers more closely.

What are the best treatment options?

Conservative treatments, such as collagenase injections, for Dupuytren’s contracture are often effective when the condition is caught at early stages (small lump/nodule stage).

When conservative options are not successful, Dupuytren’s contracture surgery is available at MedStar Orthopaedic Institute. However, surgery is a temporary solution, as the condition often returns over time. Your physician will discuss your options with you and tailor a personalized treatment plan to meet your needs.


If you believe you may be suffering from Dupuytren’s contracture, call 202-295-0511 to schedule a consultation with one of our orthopedic specialists at MedStar Orthopaedic Institute. Our doctors have years of experience diagnosing and treating hand conditions and are pleased to offer comprehensive orthopedic care in the Washington, D.C. area.

Our Specialists

Hand, Wrist & Elbow

John S. Foley, MD
John S. Foley, MD
Hand, Wrist & Elbow

MedStar Montgomery Medical Center
Curtis Mitchell Henn, MD
Curtis Mitchell Henn, MD
Hand, Wrist & Elbow
PhonePhone: 202-444-3668

MedStar Georgetown University Hospital
MedStar Orthopaedic Institute - Lafayette Centre
Ryan M. Jander, MD
Ryan M. Jander, MD
Hand, Wrist & Elbow
PhonePhone: 866-767-1682

MedStar Orthopaedic Institute – Alexandria
MedStar Orthopaedic Institute – Brandywine
MedStar Orthopaedic Institute – Lake Ridge
Michael William Kessler, MD

MedStar Georgetown University Hospital
MedStar Orthopaedic Institute - Chevy Chase
MedStar Orthopaedic Institute - Lafayette Centre


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Phone: 202-444-8766
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