BD Nokor™ admix needle for percutaneous needle fasciotomy: a novel use of a universal pharmacy needle.

Abstract

The authors declare they have no conflicts of interest. Percutaneous needle fasciotomy is one of the less invasive surgical options for treating Dupuytren's contracture.1 We describe the use of a ubiquitous pharmacy needle, the BD Nokor™ admix needle (Beckton, Dickinson and Company, Franklin Lakes, NJ, US), as an alternative for performing percutaneous fasciotomy. The needle has a blade at its tip that can be used as a small scalpel for division of fibrous bands (Fig 1). The technique is similar to performing a fasciotomy with a scalpel blade or a conventional needle. In our experience, the BD Nokor™ admix needle can be used effectively for percutaneous fasciotomy in palmar lesions. We would not advocate its use in the digits. Figure 1 Illustration of target tissue (abnormal cords in palmar fascia) in needle fasciotomy and the scalpel tip of the BD Nokor™ admix needle