Dupuytren's Contracture is a common problem which develops most frequently in men after age 40. It is usually hereditary occurring in people of European and Western Asian ancestry. It is unusual in Oriental or African-Americans.
This usually starts as a painless nodule in the palm. It can progress to fibrous cords extending into the fingers, most commonly ring and little. These bands can cause contracture of the fingers. It can progress slowly or rapidly. The flexor tendons are not affected.
Needle Aponevrotomy (also
known as Needle Aponeurectomy or NA), a minimally
invasive treatment, is now available at Central
Jersey Hand Surgery. This treatment was developed
by Dr. Lermusiaux at the Hôpital Lariboisière in Paris, France
and has been performed for over 30 years.
Dr. Lermusiaux and his colleagues have published data describing the success and safety of the procedure.
Dr. Pess recently visited Dr. Lermusiaux in Paris (February 2005) to observe the procedure and was personally instructed in the technique. The treatment can be performed on one hand at a time, takes ~15 minutes and can be done with or without light sedation. There is no incision and no sutures are necessary. A light dressing is applied and the fingers can be moved immediately.
For more severe cases, surgery may be necessary and a partial palmar fasciectomy is performed. All diseased tissue is meticulously removed and the contractures released. At Central Jersey Hand Surgery, we usually use the open palm technique which we have found decreases postoperative pain and allows quicker recovery. Surgery is performed as same day surgery under regional or general anesthesia. Hand therapy is started within 1 week of surgery.
For an appointment, call (732) 542-4477
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