Navigating Dupuytren’s Contracture: Insights from Dr. Tracy McCall

Whether you wish to enhance your face, breasts, or body with a cosmetic procedure, or if you require reconstructive hand surgery, Dr. McCall and compassionate team at Lake Country Plastic & Hand Surgery here to provide you with the outstanding results you deserve.

Dupuytren’s Contracture, a hand condition that gradually causes the fingers to bend towards the palm, can significantly affect one’s quality of life. Dr. Tracy McCall, a revered figure at Lake Country Plastic and Hand Surgery in Waukesha, WI, offers a deep dive into understanding this condition, its progression, and the state-of-the-art treatments available. This blog aims to provide a comprehensive guide for those seeking to understand Dupuytren’s Contracture, offering hope and solutions for affected individuals.

Understanding Dupuytren’s Contracture

Dupuytren’s Contracture is characterized by the thickening and tightening of the fascia—the fibrous layer of tissue beneath the skin in the palm and fingers. Initially, it may present as a small lump or nodule in the palm, which, over time, can progress to a point where the fingers (usually the ring and little fingers) are pulled towards the palm, restricting their movement.

The Mysteries Behind Its Causes

The exact cause of Dupuytren’s Contracture remains elusive, though it’s believed to be influenced by a combination of genetic and environmental factors. The condition is more prevalent in men over the age of 50 and is commonly observed in individuals of Northern European descent. Factors like smoking, alcohol consumption, diabetes, and certain medications are also associated with an increased risk of developing the condition.

The Journey of Progression

Dupuytren’s Contracture progresses at varying rates among individuals. Some may experience a slow, gradual tightening of the fascia, while others may see a rapid progression over months. The condition is not typically painful, but the increasing inability to straighten the fingers can hinder daily activities, affecting one’s ability to grasp objects or perform tasks that require a flat hand.

Innovative Treatment Options at Lake Country Plastic and Hand Surgery

Recognizing the impact of Dupuytren’s Contracture on patients’ lives, Dr. McCall offers a range of treatments tailored to the severity and progression of the condition. The goal is to improve hand function and slow the disease’s progression, with options ranging from minimally invasive techniques to surgical interventions.

1. Needle Aponeurotomy

This minimally invasive procedure involves using a needle to puncture and break the cord of tissue that’s pulling the finger toward the palm. Needle aponeurotomy requires no incisions and can be performed in an office setting, offering a quick recovery time.

2. Enzymatic Injections

Xiaflex® (collagenase clostridium histolyticum) is an FDA-approved treatment that involves injecting an enzyme directly into the Dupuytren’s cord. The enzyme breaks down the cord’s structure, allowing the finger to be straightened. This treatment is particularly suited for patients with a palpable cord and offers an alternative to traditional surgery.

3. Surgical Options

For advanced cases of Dupuytren’s Contracture, surgery may be the most effective treatment. The surgical removal of the affected fascia can provide significant relief, improving finger mobility. Dr. McCall utilizes the latest surgical techniques to ensure minimal discomfort and optimal recovery, tailoring the approach to each patient’s specific needs.

Personalized Care and Recovery

Post-treatment care is crucial for achieving the best outcomes. Dr. McCall and her team at Lake Country Plastic and Hand Surgery provide personalized rehabilitation plans, including physical therapy and exercises, to maximize hand function and minimize recovery time. The emphasis on individualized care ensures that each patient receives a treatment plan that best suits their condition and lifestyle.

Empowering Patients with Knowledge and Compassion

Dr. McCall believes in empowering her patients with comprehensive information about their condition and treatment options. By understanding Dupuytren’s Contracture and the available treatments, patients can make informed decisions about their care. The team’s commitment to compassion and excellence in patient care makes Lake Country Plastic and Hand Surgery a leading choice for individuals seeking relief from Dupuytren’s Contracture in Waukesha, WI.

Advancing Towards Improved Hand Function

In conclusion, while Dupuytren’s Contracture presents challenges, advancements in treatment offer hope and improved quality of life for those affected. Dr. Tracy McCall’s expertise and the innovative solutions available at Lake Country Plastic and Hand Surgery provide a beacon of hope for patients navigating this condition. With a focus on personalized care, cutting-edge treatments, and comprehensive support, patients can look forward to regaining hand function and embracing the activities they love.


  1. American Society for Surgery of the Hand. “Dupuytren’s Contracture.” This source offers detailed information on the condition, including symptoms, diagnosis, and treatment options, emphasizing the importance of understanding and managing the disease effectively.
  2. Journal of Hand Surgery. “Current Concepts in the Management of Dupuytren’s Contracture.” An academic article that provides insights into the latest treatment methodologies and their efficacy in managing Dupuytren’s Contracture, highlighting the evolution of care practices.
  3. Mayo Clinic. “Dupuytren’s Contracture.” A comprehensive overview from a trusted medical institution that explains the causes, progression, and treatment options for Dupuytren’s Contracture, offering patients a reliable resource for understanding their condition.

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