- Blog
Dupuytren’s Contracture Surgery
Posted on 11-08-2025 in Hand by Dr. Steven Kronlage
Many times, patients are told that they do not require surgery. A painless bump or a ‘cord’ does not need intervention if it does not cause a contracture.
Indications for intervention are a contracture of the metacarpophalangeal joint (knuckle) of 40° or any contracture of the proximal interphalangeal joint (the first joint of the finger). Surgery or enzyme injection can treat the contracture. Nothing will ‘cure’ a patient of Dupuytren’s. The decision for which type of treatment will be made depending on the level of the contracture and the severity of the contracture.
Aponeurotomy is a procedure done in the office. Under local anesthesia, a small needle is used to break up the cords. This allows the finger to straighten. This is used in minor cases and cases primarily with an MP contracture. A splint is worn for three weeks at night. When done in the right clinical setting, the results are very good. Not all contractures are amenable to aponeurotomy. Also, it will not remove large knots and cords as surgery would.
Visit Dupuytren’s Contracture for additional information, including symptoms and diagnosis details.
Check out some of our related posts:
Strong Bones & Aging
According to the American Academy of Orthopaedic Surgeons, approximately 2 million older Americans sustain fractures yearly due to weak bones. By 2025, that number is predicted to rise to 3 million fractures annually. At North Florida Bone & Joint Specialists, we recognize the importance of maintaining strong bones, particularly as you age. In honor of Healthy Aging Month, the following tips can help you maintain, and even improve, your bone strength:
Osteoporosis Management
We see our share of broken bones as an orthopaedic and sports medicine practice. From the high school baseball player who collided with first base a little too hard to the avid DIY’er who took a tumble from an unsecured ladder and everything in between, we’ve seen it all. As we age, we also gradually lose bone mass, which occurs as small amounts of healthy bone are absorbed into your body as small amounts are replaced. When more bone is absorbed than is replaced, the density (bone mass) is reduced. Osteoporosis develops when the bone is no longer replaced as quickly as it is removed, and over time, it causes the bone to become progressively weaker, increasing the risk that it may break.
Real-Time Insight: Using Ultrasound to Enhance Sports Medicine Care
October is Medical Ultrasound Awareness Month, a time to highlight how this technology is reshaping sports medicine. At North Florida Bone & Joint Specialists, musculoskeletal ultrasound plays a vital role in the timely diagnosis and treatment of sports-related injuries, helping patients receive precise, efficient care without delay.