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What is a Percutaneous Needle Fasciotomy/Aponeurotomy?

This procedure is indicated for some individuals suffering from Dupuytren’s Contracture. This condition may cause one or more finger to become permanently flexed towards the palm. This condition develops over a period of years, typically affecting the ring and pinky fingers. This condition can interfere with daily functions which can affect the patient’s quality of life.Dupuytrens Disease

While there is no lasting cure for this condition, Percutaneous Needle Fasciotomyaponeurotomy can provide relief lasting for a short period. This procedure focuses on relieving tension on the finger by cutting diseased tissue and releasing tight Dupuytren’s cords.  

When is a Percutaneous Needle Fasciotomy/Aponeurotomy needed

This procedure is indicated when the condition progresses to a point where the patient experiences a reduced ability to complete daily tasks with the afflicted region. Limited improvement at the metacarpal phalangeal joint may be possible

Conditions that Can be Helped by a Percutaneous Needle Fasciotomy/Aponeurotomy

This procedure is most commonly used to treat patients with Dupuytren’s disease. Dupuytren’s Contracture typically affects men over the age of 50 of Northern European or Scandinavian descent. Dupuytren’s Contracture may also present in manual workers, individuals with a previous injury to the hand, or individuals with Ledderhose Disease.

What Does a Percutaneous Needle Fasciotomy/Aponeurotomy Entail

This procedure may be done in an office or may be done under local or regional anesthesia in an outpatient surgery setting. After the area is prepared, a needle of the appropriate length and gauge is inserted through the skin. A local anesthetic is used to make the procedure relatively painless.

The needle is then advanced through the affected region until it contacts the fascial cord, which is scored multiple times and stretched to relieve tension and promote healing.

The procedure is relatively fast with high success and low complication rates. Many patients report an improved range of motion and an increase in daily use after their procedure.

Recovering from a Percutaneous Needle Fasciotomy/Aponeurotomy

Most patients experience improved hand function following their procedure. The incision site may be swollen or tender to the touch for the first few days.

Many patients may experience numbness or tingling near the incision, which generally improves with time.

Conservative pain management may be prescribed as well as occupational therapy.

If You are Experiencing Hand Pain, Contact HandSport Surgery Institute.

Please contact us as soon as possible to schedule an appointment with our talented team. People who have hand pain should be evaluated to try and prevent further injury and mobility issues.

If you have been injured, it’s important to be evaluated by a highly skilled professional. Call Drs. Mark and Jason Pruzansky at 212-249-8700 to schedule an appointment and obtain an
accurate diagnosis.

 

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