Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2014 Nov;134(5):822e-829e.
doi: 10.1097/PRS.0000000000000603.

Minimally invasive options in Dupuytren's contracture: aponeurotomy, enzymes, stretching, and fat grafting

Amanda Murphy  1 , Donald H Lalonde, Charles Eaton, Keith Denkler, Steven E R Hovius, Anthony A Smith, Alison Martin, Atanu Biswas, C Van Nieuwenhoven
Affiliations
Review

Minimally invasive options in Dupuytren's contracture: aponeurotomy, enzymes, stretching, and fat grafting

Amanda Murphy et al. Plast Reconstr Surg. 2014 Nov.

Abstract

Learning objectives: After studying this article, the participant should be able to: (1) Perform needle aponeurotomy, fat grafting, Digit Widget insertion, and collagenase injection for Dupuytren's cords. (2) Describe how cords can be stretched without surgery. (3) Explain to patients the risks and benefits of these new alternatives of treatments.

Summary: Surgery for Dupuytren's contracture used to be the only alternative of treatment. The past 5 years have seen the widespread adoption of minimally invasive treatments in the form of needle aponeurotomy and collagenase injection to disrupt the cords and restore range of motion. Even newer and perhaps as effective treatments such as fat grafting and mechanical stretching with the Digit Widget may also end up being important tools of treatment. The reader will be introduced to all of these modalities with text, illustration, and videos.

PubMed Disclaimer

Comment in

References

    1. Eaton C. Percutaneous fasciotomy for Dupuytren’s contracture. J Hand Surg Am. 2011;36:910–915
    1. van Rijssen AL, ter Linden H, Werker PM. Five-year results of a randomized clinical trial on treatment in Dupuytren’s disease: Percutaneous needle fasciotomy versus limited fasciectomy. Plast Reconstr Surg. 2012;129:469–477
    1. van Rijssen AL, Gerbrandy FS, Ter Linden H, Klip H, Werker PM. A comparison of the direct outcomes of percutaneous needle fasciotomy and limited fasciectomy for Dupuytren’s disease: A 6-week follow-up study. J Hand Surg Am. 2006;31:717–725
    1. McMillan C, Binhammer P. Steroid injection and needle aponeurotomy for Dupuytren contracture: A randomized, controlled study. J Hand Surg Am. 2012;37:1307–1312
    1. Kan HJ, Verrijp FW, Huisstede BM, Hovius SE, van Nieuwenhoven CA, Selles RW. The consequences of different definitions for recurrence of Dupuytren’s disease. J Plast Reconstr Aesthet Surg. 2013;66:95–103

LinkOut - more resources