A newer technique to correct Dupuytren’s – an office procedure called “needle aponeurotomy” — has recently gained popularity in the US. In this minimally–invasive procedure done under local anesthesia, we weaken the cord at multiple locations with the tip of a small needle. Once the cord is sufficiently weakened it is “popped,” resulting in a straighter digit. No stitches are necessary. While not everyone with Dupuytren’s disease is a candidate for needle aponeurotomy, we can generally make a determination based on the initial office visit. Complications of this procedure include nerve injury, recurrence of the contracture and skin tears.
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