title: Dupuytren's disease and needle aponeurotomy: rupture of a deep common flexor tendon: A case report and literature review.
abstract: BACKGROUND
  The Percutaneous Needle Aponeurotomy (PNA) is a known and validated non-surgical treatment for Dupuytren's disease with a low rate of complications. Initially described for purely palmar forms, the indications extended to digital adhesions. Numerous surgeons remain hesitant about performing the PNA for digital treatment because of the risk of lesions in the noble structures. In literature, one complication is still rare, even non-existent, i.e. the tendon rupture.
  
  
  METHODS
  We are reporting here the case of a rupture of the deep common flexor tendon, secondary to a needle aponeurotomy, for a recurring digital form in a 72-year-old woman. We performed surgical treatment by tenodesis of the distal stump and resection of the proximal stump. The result was satisfactory.
  
  
  CONCLUSIONS
  The purpose of describing this case is to report this rare complication leading to surgical revision. Within our team, we do not recommend performing PNAs for digital cases, and even less so for recurrences. For those who wish to perform the PNA, they need to know some technical artifices that enable these complications to be reduced, albeit not eliminated.
authors.affiliation: Department of Hand, Upper Limb and Peripheral Nerve Surgery. European Georges, Pompidou Hospital (HEGP) AP-HP, Paris, France.
authors.forename: Salma
authors.initials: S
authors.lastname: Otayek
authors.affiliation: Department of Hand, Upper Limb and Peripheral Nerve Surgery. European Georges, Pompidou Hospital (HEGP) AP-HP, Paris, France; Faculty of Medicine, René Descartes. Paris, France.
authors.forename: Jérôme
authors.initials: J
authors.lastname: Pierrart
authors.affiliation: Department of Hand, Upper Limb and Peripheral Nerve Surgery. European Georges, Pompidou Hospital (HEGP) AP-HP, Paris, France; Faculty of Medicine, René Descartes. Paris, France.
authors.forename: Emmanuel H
authors.initials: EH
authors.lastname: Masmejean
keywords: Dupuytren; aponeurotomy; needle; tendon rupture