
Dupuytren's Disease is an abnormal thickening of the tissue beneath the skin in the palm of the hand. The disease progresses very slowly, usually appearing as small nodules in the palm. As it advances, Dupuytren's may limit movement and eventually produce contractures in the fingers which cannot be straightened. Until recently, most advanced Dupuytren's cases were treated surgically. However, Dr. Ostrowski has recently begun to perform needle aponeurotomy, a minimally invasive in-office procedure for correcting finger contracture caused by Dupuytren's disease. Patients treated in this manner recover after only two days of intermittent coldpacks and rest. They can be back at work doing keyboard or sedentary work after two days. After one week they can return to more strenuous work. Traditional surgical correction of Dupuytren's disease can require up to 12 weeks of recovery time and multiple sessions of hand therapy.
Needle Aponeurotomy (NA) is a percutaneous fasciotomy performed in the office using local anesthesia. Small gauge needles are used to cut the diseased fascia and to inject nodules. Since no sedation is utilized, patients can go home almost immediately following their procedure. This procedure is not appropriate for all patients. An applicable analogy is that some patients with coronary artery disease do well with stents, while others requireopen heart surgery. Similarly, some patients are NA candidates, while others need open surgery.