- Blog
Dupuytren’s Contracture Surgery
Posted on 05-11-2025 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:
Diagnosing & Managing Arthritis
Arthritis represents a wide variety of joint inflammation diseases. Patients most often have chronic Arthritis in their wrists, hands, and fingers, experiencing flares of inflammation, soreness or stiffness affecting the joints. As we recently wrapped up Bone & Joint Action Week, this is an excellent opportunity to bring awareness to the most common categories of Arthritis, proactive methods for pain prevention and available treatment solutions.
Arthritis and Hyaluronic Acid
Arthritis literally translates to “inflammation of the joint” and describes the degenerative process through which a joint space loses its “cushioning,” whether are the result of injury, illness or the natural process of aging. It is the leading cause of musculoskeletal pain and can be found in almost every part of the body, from the shoulder all the way down to the smallest joint of the toe. Our joints are intricate structures shaped from cartilage, bone, muscle and connective tissue, all of which can gradually weaken over time or be damaged by acute injury. While there are more than one hundred known types of arthritis, the three most common forms are osteoarthritis, which is by far the most prevalent; rheumatoid arthritis, which is caused by the body’s own immune system generating a chronic inflammatory response in the joints; and post-traumatic arthritis, which is caused by the lingering structural damage of acute injuries.
What You Should Know About Wrist Arthritis
Research from the National Library of Medicine states that one in seven people in the United States suffers from some form of wrist arthritis. That estimate indicates that just over 13% of the American population experiences discomfort, inflammation or limited range in motion due to this condition. As we usher in the month of May and recognize National Arthritis Awareness Month, we want to emphasize wrist arthritis and provide an overview of the condition, symptoms to be aware of, treatment options, and tips for managing its symptoms.