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Needle Aponeurotomy in the Management of Dupuytren’s Contracture

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Dupuytren’s Contracture

Abstract

Dupuytren’s contracture (DC) is a benign fibroproliferative disorder of the fascia of the hand and fingers. Progressive thickening and shortening of the palmar fascia results in the formation of cords and ultimately flexion deformities of the digits, with associated functional loss. Surgical intervention aims to correct contracture and improve the hand function by either division of (fasciotomy) or removal of (fasciectomy) the diseased tissue. Current treatment options for DC include open fasciectomy (OF), limited fasciectomy (LF), needle aponeurotomy (NA), and collagenase injections. Needle aponeurotomy (NA) is a minimally invasive technique that uses a small hypodermic needle as a percutaneous scalpel blade to perforate, weaken, and/or divide the affected cords. This chapter focuses on the use of NA, its indications, advantages, disadvantages, technical pearls, and literature review. Pertinent comparisons between NA and other treatment options are also discussed.

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Authors and Affiliations

  1. Department of Orthopedics Surgery and Division of Plastic Surgery, University of California–Los Angeles, Box 957326, 10945 LeConte Avenue, Room 33-55 PVUB, Los Angeles, CA, 90095-7326, USA

    Clifford T. Pereira MD, FRCS(Eng) & Prosper Benhaim MD

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  1. Clifford T. Pereira MD, FRCS(Eng)
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  2. Prosper Benhaim MD
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Correspondence to Prosper Benhaim MD .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery Division of Hand Surgery, Mayo Clinic, Rochester, Minnesota, USA

    Marco Rizzo

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Pereira, C.T., Benhaim, P. (2016). Needle Aponeurotomy in the Management of Dupuytren’s Contracture. In: Rizzo, M. (eds) Dupuytren’s Contracture. Springer, Cham. https://doi.org/10.1007/978-3-319-23841-8_2

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  • DOI: https://doi.org/10.1007/978-3-319-23841-8_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23840-1

  • Online ISBN: 978-3-319-23841-8

  • eBook Packages: MedicineMedicine (R0)

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