Skip to main content
SpringerLink
Log in

Corticosteroid Injections and Needle Aponeurotomy in the Management of Dupuytren’s Contracture

  • Chapter
  • First Online:
Dupuytren’s Contracture

  • 689 Accesses

Abstract

Needle aponeurotomy is an effective, noninvasive surgical option for patients with Dupuytren’s disease. However, the drawback of the procedure is a high recurrence rate. Injections of triamcinolone acetonide have been reported to improve keloids and hypertrophic scars. Triamcinolone has been reported to modify disease progression when injected into Dupuytren’s nodules. By combining these two treatments, it is possible to improve the outcomes for needle aponeurotomy alone. Injection of triamcinolone is a safe, simple addition to the needle aponeurotomy procedure that results in increased joint extension.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Eaton C. Percutaneous fasciotomy for Dupuytren’s contracture. J Hand Surg Am. 2011;36(5):910–5.

    Article  PubMed  Google Scholar 

  2. Foucher G, Medina J, Navarro R. Percutaneous needle aponeurotomy: complications and results. J Hand Surg Br. 2003;28(5):427–31.

    Article  CAS  PubMed  Google Scholar 

  3. van Rijssen AL, ter Linden H, Werker PMN. 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(2):469–77.

    Article  PubMed  Google Scholar 

  4. Werker PMN, Pess GM, van Rijssen AL, Denkler K. Correction of contracture and recurrence rates of Dupuytren contracture following invasive treatment: the importance of clear definitions. J Hand Surg Am. 2012;37(10):2095–105.

    Article  PubMed  Google Scholar 

  5. Ketchum LD, Robinson DW, Masters FW. Follow-up on treatment of hypertrophic scars and keloids with triamcinolone. Plast Reconstr Surg. 1971;48(3):256–9.

    Article  CAS  PubMed  Google Scholar 

  6. Ketchum LD, Donahue TK. The injection of nodules of Dupuytren’s disease with triamcinolone acetonide. J Hand Surg Am. 2000;25(6):1157–62.

    Article  CAS  PubMed  Google Scholar 

  7. McMillan C, Binhammer P. Steroid injection and needle aponeurotomy for Dupuytren contracture: a randomized, controlled study. J Hand Surg Am. 2012;37(7):1307–12.

    Article  PubMed  Google Scholar 

  8. McMillan C, Binhammer P. Steroid injection and needle aponeurotomy for Dupuytren contracture: long term follow-up of a randomized, controlled study. J Hand Surg Am. 2014;39(10):1942–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Hand Wrist and Microvascular Surgery, Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Toronto, ON, Canada, M4N 3M5

    Paul Binhammer MD, FRCS(C)

Authors
  1. Paul Binhammer MD, FRCS(C)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Paul Binhammer MD, FRCS(C) .

Editor information

Editors and Affiliations

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

    Marco Rizzo

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Binhammer, P. (2016). Corticosteroid Injections and 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_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-23841-8_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23840-1

  • Online ISBN: 978-3-319-23841-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation