Abstract
Dupuytren disease is a progressive disease process that causes debilitating flexion contractures of the MCP and PIP joints. There are multiple interventions to choose from, ranging from minimally invasive techniques with little downtime, to open surgical excision with a lengthy post-operative rehabilitation. Our understanding of the disease process continues to evolve. Depending on the extent of flexion contracture, needle aponeurotomy and collagenase injection have satisfactory results with moderate long-term efficacy. Surgical palmar fasciectomy continues to be the mainstay treatment for extensive contractures, with durable results.
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