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KMID : 1143020180230010028
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Archives of Hand and Microsurgery
2018 Volume.23 No. 1 p.28 ~ p.34
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Ultrasound-Guided Percutaneous Needle Fasciotomy after Steroid Injection for Dupuytren’s Contracture
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Yoo Jae-Sung
Heo Kang
Kim Seong-Jun
Park Kwang-Hee
Kim Jong-Pil
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Abstract
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Purpose: The purpose of this study was to report outcomes of ultrasound-guided percutaneous needle fasciotomy (USPNF) after intralesional steroid injections (SI).
Methods: Tirty-two fingers (fourteen patients) treated by USPNF 4 weeks after intralesional SI from September, 2014 to October, 2016 were reviewed. At 6 months follow-up, outcome measurements were self-reported satisfaction, clinical improvement, clinical success, recurrence and complications.
Results: All fingers showed clinical improvement with 100% satisfaction. Clinical success rates of ring and little fingers were 64.29% and 44.44%, respectively (p=0.18). Clinical improvement were greater in the metacarpophalangeal joint (MCPJ) than the proximal interphalangeal joint (PIPJ), but the difference was not significant (100.00% vs. 84.62%, p=0.07). Superior clinical success was noted in the MCPJ compared to the PIPJ (79.31% vs. 23.08%, p＜0.001). The mean percentages of improvement in the contracture angle were 92.48% for MCPJ and 65.58% for PIPJ. No complication was noted.
Conclusion: Intralesional SI followed by USPNF for the treatment of Dupuytren’s contracture showed satisfactory outcomes, USPNF technique can be an alternative to the open technique.
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KEYWORD
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Dupuytren contracture, Fasciotomy, Injections
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