title: Ultrasound-Assisted Percutaneous Needle Fasciotomy for Dupuytren's Contracture.
abstract: Although percutaneous needle fasciotomy for Dupuytren's contracture is a simple, inexpensive procedure, it is a blind procedure with risks including injury to nerves, arteries, and tendons. The authors describe a novel technique using ultrasound as an adjunct to percutaneous fasciotomy for Dupuytren's contracture. Generally, patients have no postoperative restrictions other than to avoid submerging their hands for 48 hours. To date, the authors have noted, in 66 cases, no permanent complete nerve dysfunction following needle aponeurotomy using ultrasound assistance. Recurrence of the disease is the most common complication, occurring at a higher rate than with open procedures. Ultrasound mapping of the digital neurovascular structures can be successfully used as an adjunct to help prevent these neurovascular complications.
authors.forename: Vasileios I
authors.initials: VI
authors.lastname: Sakellariou
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Brault
authors.forename: Marco
authors.initials: M
authors.lastname: Rizzo
mesh_terms: D015331:Cohort Studies; D004387:Dupuytren Contracture / Q000000981:diagnostic imaging / Q000601:surgery*; D005205:Fascia / Q000000981:diagnostic imaging; D000071938:Fasciotomy; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008662:Metacarpophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D009339:Needles; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D011446:Prospective Studies; D012008:Recurrence; D013710:Tendons / Q000601:surgery; D016896:Treatment Outcome; D014463:Ultrasonography