Corticosteroid injections and needle aponeurotomy in the management of Dupuytren’s contracture

Abstract

Needle aponeurotomy is an effective, noninvasive surgical option for patients with Dupuytren’s disease. However, the drawback of the procedure is a high recurrence rate. Injections of triamcinolone acetonide have been reported to improve keloids and hypertrophic scars. Triamcinolone has been reported to modify disease progression when injected into Dupuytren’s nodules. By combining these two treatments, it is possible to improve the outcomes for needle aponeurotomy alone. Injection of triamcinolone is a safe, simple addition to the needle aponeurotomy procedure that results in increased joint extension.