Trigger Finger vs. Dupuytren’s Contracture: Understanding the Difference

focus on hand with crooked bent fingers emphasizing on loss of function and pain

If your hand is not working properly, simple daily tasks can suddenly feel challenging. Two common causes of this discomfort are Trigger Finger and Dupuytren’s Contracture. While these conditions may seem similar, they affect different areas in the palm and require different treatment approaches. 

At Granite Orthopaedics, our hand and upper-extremity specialists diagnose and treat both conditions to help patients in Prescott and Prescott Valley return to normal movement. 

What Is Trigger Finger? 

Trigger Finger (stenosing tenosynovitis) occurs when the tendon that bends the finger becomes inflamed and can no longer glide smoothly through its pulley system. This imbalance leads to: 

  • Clicking or popping when bending the finger 
  • Finger locking in a bent position 
  • Pain or tenderness at the base of the finger or thumb 

Trigger Finger frequently affects the thumb, ring finger, and middle finger, but may involve any digit. 

What Is Dupuytren’s Contracture? 

Dupuytren’s contracture is a hand condition that causes the connective tissue beneath the skin of the palm to thicken and tighten over time. This can lead to one or more fingers—most commonly the ring and small fingers—gradually bending inward, making everyday tasks more difficult. 

Key things to know: 

  • It typically develops slowly and is usually painless in the early stages. 
  • Firm lumps or cords may form in the palm and fingers. 
  • As the condition progresses, affected fingers may become permanently bent. 
  • While the exact cause is unknown, genetics play a significant role. 

Early evaluation can help determine the best treatment options and prevent further loss of hand function. 

Trigger Finger vs. Dupuytren’s Contracture: What’s the Difference? 

While both conditions involve tendon irritation, the symptoms differ because they affect different areas of the hand. 

Comparison

Trigger Finger

Dupuytren’s Contracture

Location

Base of finger or thumb

Any part of the palm or finger

Main Symptom

Finger catching, clicking, or locking

Nodules, pits, or cords in the palm

Tendons Involved

Finger flexor tendons

No tendon involvement

Typical Triggers

Gripping and making a fist

Genetic

Common Signs

Finger stuck in a bent position

Inability to flatten hand on a surface

Diagnosis at Granite Orthopaedics 

Our orthopedic hand specialists perform a focused physical exam to identify which tendons are involved. Most patients do not require imaging, but additional tests are available when needed. 

Treatment Options for Hand and Wrist Pain 

Both conditions often respond well to non-surgical care, including: 

  • Activity modification 
  • Corticosteroid injections 
  • Hand or occupational therapy 

If symptoms persist, minimally invasive surgery may be recommended to release the constricted tendon sheath and restore smooth motion. 

When to Seek Care 

If you experience recurring clicking, locking, or pain along the thumb side of the wrist, early treatment can prevent long-term stiffness or worsening inflammation. 

At Granite Orthopaedics, our team provides comprehensive hand and wrist care tailored to your needs. 

Request an appointment today at our Prescott or Prescott Valley locations to get started.

Call 928-777-9950 or fill out our contact us form online.

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Prescott

Office Hours

Granite Orthopaedics PLLC (Prescott)

Prescott Valley

Office Hours

Granite Orthopaedics, PLLC (Prescott Valley)

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