bone, joint, and muscle disorders
Dupuytren Contracture
Treatment of Dupuytren Contracture
Injection of a corticosteroid Injection ofcollagenase Surgery In people with Dupuytren contracture, an injection of a Corticosteroids into the nodule may help decrease the tenderness in the area if it is done before the fingers begin to curl. However, the tenderness often resolves without treatment. The injection does not delay the progression of the disorder. For mild to moderate scarring, one or more injections ofcollagenase(an enzyme that can break down scar tissue) may help restore the ability to move. Another alternative to surgery is needle aponeurotomy, an office-based procedure in which a needle is used to release the tightened band of scar tissue to straighten the finger. Surgery is usually needed when the hand cannot be placed flat on a table, when the fingers curl so much that hand function is limited, or when multiple fingers are involved. Surgery to remove the diseased fascia is difficult because the fascia surrounds nerves, blood vessels, and Tendons and Bursae , although recurrence is less likely after surgery than after 