Your Good Health: Growth on palm bothers retired mail carrier

Dear Dr. Roach: I am a 75-year-old retired mail carrier. I have a growth on my palm that continues to grow. It’s not hurting me, but it is annoying and puts pressure on my hand. My hand surgeon called it “palmar fibromatosis” and said to just leave it alone, since it’s no big deal. But I want it gone, and I am at a loss as to what to do next.Palmar fibromatosis, also called Dupuytren’s contracture, is a benign thickening of the connective tissue in the hand. The condition is highly variable.

Since you aren’t happy with your symptoms, a visit to the hand surgeon to talk about your options would be wise, but if your surgeon thinks treatment isn’t worth it yet, I’d think hard about insisting on proceeding. He took one look at the X-ray and concluded that I needed a replacement. The cartilage is gone as well as a significant portion of the glenoid. He said my shoulder is eroded inward by 14 mm.

I received a second opinion from another highly regarded shoulder specialist, and he pretty much came to the same conclusion. He said I could choose to wait, but additional bone loss would be a real issue. He seemed to be leaning toward a reverse procedure already.

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