What is Needle Fasciotomy?
Dupuytren contracture occurs when a layer of tissue beneath the skin of the palm, called the palmar fascia, thickens and forms cords that gradually pull one or more fingers into a bent position.
Needle fasciotomy is a minimally invasive, in-office procedure used to treat Dupuytren contracture. During the procedure, a fine needle is used to weaken or divide the thickened cords beneath the skin, allowing the affected fingers to straighten without the need for an incision or stitches.
The goal of needle fasciotomy is to improve finger extension and hand function while minimizing recovery time.
Needle Fasciotomy Procedure
Needle fasciotomy is performed in the office using local anesthesia and typically takes 30 to 60 minutes.
The skin over the affected area is numbed, and a fine needle is used to carefully divide the diseased cords beneath the skin while the fingers are gently straightened. Because no incision is made, stitches are not required.
Before the procedure, your provider will explain the treatment, answer your questions, and discuss what to expect afterward.
Nonsurgical Treatment and Other Options
Several treatment options may be considered for Dupuytren contracture, depending on the severity of the condition and your treatment goals.
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Treatment options may include:
- Needle fasciotomy
- Xiaflex injections
- Surgical Dupuytren release
Needle fasciotomy is often chosen by patients seeking a minimally invasive treatment with a relatively quick recovery. Your provider will discuss which option is most appropriate based on your symptoms and the severity of your contracture.
Is Needle Fasciotomy Right for You?
Needle fasciotomy may be appropriate when Dupuytren contracture limits your ability to fully straighten one or more fingers.
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You may be a candidate if:
- One or more fingers are becoming fixed in a bent position
- The contracture is interfering with everyday activities
- You are looking for a minimally invasive treatment option
Your provider will evaluate your contracture and discuss whether needle fasciotomy is the best treatment for your condition.
Frequently Asked Questions
When is needle fasciotomy usually recommended?
Needle fasciotomy may be recommended when Dupuytren contracture limits your ability to straighten one or more fingers and begins affecting hand function.
Is needle fasciotomy performed in the office?
Yes. Needle fasciotomy is performed in the office using local anesthesia.
How long does the procedure take?
The procedure typically takes 30 to 60 minutes.
Is an incision required?
No. A fine needle is used to divide the thickened cords beneath the skin, so no incision or stitches are required.
What should I expect after needle fasciotomy?
Most patients are able to return to gripping activities, including golfing or gardening, within approximately one week.
Can Dupuytren contracture return after needle fasciotomy?
Yes. Needle fasciotomy has approximately a 50% chance of recurrence within three to five years. If the contracture returns, the procedure may be repeated.
What are the advantages of needle fasciotomy?
Needle fasciotomy is a minimally invasive treatment that does not require an incision or stitches and generally allows patients to return to activities quickly.
What are the risks of needle fasciotomy?
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Potential risks include:
- Injury to nearby tendons
- Injury to nearby nerves
Your provider will discuss the potential risks and benefits before your procedure.
Why Eugene Patients Trust Slocum for Needle Fasciotomy
For more than 80 years, Slocum Orthopedics has helped keep the Eugene–Springfield community moving. As the region’s largest orthopedic practice, our board-certified surgeons provide advanced orthopedic care supported by on-site physical therapy, imaging, and a dedicated surgery center.
