Dupuytren’s disease is a disorder of the hand palm which leads to contractures of one or more fingers so that one can no longer stretch these fingers. The sickness of Dupuytren is benign and seldom painful, but patients can experience significant functional discomfort.

The treatment was so far exclusively surgical. Needle fasciotomy is originating from France, where the rheumatologists apply this technique for years. In Belgium needle fasciotomy is only applied in a few centres, including the one we recommend for elective surgery.

Depending on the seriousness of the disorder, one or several sessions are necessary for each hand. Generally three up to four treatments are sufficient. The surgeon generally recommend an interval of two weeks between each session, which lasts for approximately 30 minutes.

The results of needle fasciotomy are remarkable (see patient stories). The technique is little invasive and can be carried out in an ambulatory setting. It is possible that Dupuytren’s contractures reappear, but the procedure can be repeated without problems.

Needle fasciotomy can strongly reduce the need for surgery and must be the preferred initial treatment. Needle fasciotomy can also be used with success for the treatment of trigger fingers.

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