Dupuytren Procedure

When would I need a Dupuytren procedure?

You may need a procedure when you have severe Dupuytren disease (also called Dupuytren contracture). In advanced stages, the disease limits finger and hand function and makes it hard (or impossible) to perform many daily activities. At that stage, you need a Dupuytren procedure to restore finger movement.

What is Dupuytren disease?

Dupuytren disease occurs when one or more fingers curl toward your palm. The problem develops when the connective tissues under the skin thicken and tighten. 

The thickened area begins as a lump (nodule) that enlarges into cords of tissue. Then the tight tissues pull on your fingers and force them to bend. 

Dupuytren disease can affect any finger but most often involves the ring and small fingers. You can also develop the same problem in both hands.

How is Dupuytren disease treated?

Dupuytren disease is a progressive condition, but it usually develops gradually. In the early stages, your provider treats the condition with steroid injections and therapies that break down or soften the thick tissues.

As the disease progresses, a contracture develops. Contractures occur when the lack of mobility leads to permanent tissue tightening that severely limits or prevents finger movement.

What type of Dupuytren procedure is aponeurotomy?

Aponeurotomy, also called a percutaneous needle fasciotomy, is a minimally invasive procedure that doesn't need an incision. Instead, your provider uses a needle to make tiny holes in the thickened cords of tissue.

As your provider straightens your fingers, the holes let the tissues stretch, and the pull on your fingers weakens. Your provider may also inject steroids to reduce swelling.

What Dupuytren procedures require surgery?

Your provider may recommend two types of surgery to remove part or all of the nodules and thickened tissues:

Fasciotomy

When your surgeon does a surgical fasciotomy, they make a small incision and cut but don't remove the tight cords. Though Dupuytren disease can return after any procedure, your chances are higher after a fasciotomy.

Fasciectomy

Fasciectomy is a more extensive procedure than fasciotomy. During a fasciectomy, your surgeon removes all of the cords, nodules, and in some cases, the diseased skin. Then they carefully reconstruct the healthy tissues and may need to use a skin graft to close the incision.

If you notice uncontrollable finger curling, call Northeast Orthopaedics & Sports Medicine, or book an appointment online today.