Dupuytren Contracture Release

Reattaching a biceps tendon that has torn from the forearm bone at the elbow, to restore the strength to turn and lift.

Distal Biceps Tendon Repair

Releasing or removing the thickened cords in the palm that pull fingers into a bent position, by needle release, enzyme injection or open surgery.

Dupuytren Contracture Release

Removing a fluid-filled cyst from the wrist or hand along with the stalk that connects it to the joint, to relieve pain and lower recurrence.

Ganglion Cyst Removal

Reconstructing the arthritic joint at the base of the thumb by removing the worn bone and stabilizing the thumb with a tendon or implant, to restore pain-free pinch.

Thumb CMC Arthroplasty

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Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.

Call801-640-0000

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Provo1055 N 300 W, Ste 104

Orem700 W 800 N, Ste 330

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What it is

Dupuytren Contracture Release

Dupuytren disease thickens the fascia under the skin of the palm into nodules and cords.

Over years the cords contract and pull the ring and small fingers toward the palm until the hand will not lie flat.Treatment options are needle release of the cord through the skin, an enzyme injection that dissolves it, or open surgery to remove the diseased tissue.

Performed by

Toby Johnson, MD, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists

Dr. JohnsonHand and Upper Extremity

M. Shane Frazier, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists

Dr. FrazierHand and Upper Extremity

Travis Peterson, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists

Dr. PetersonHand and Upper Extremity

or call801-640-0000

Dupuytren Contracture Release

Who It Helps

Treatment is considered when a finger cannot straighten enough to put the hand flat on a table, or when the contracture interferes with gloves, pockets, handshakes or work.Nodules alone, without contracture, are watched. There is no treatment that prevents the disease from progressing.

Dupuytren Contracture Release

What to Expect

Needle and enzyme procedures are office-based under local anesthesia.Open fasciectomy is outpatient surgery, one to two hours, under regional block or general anesthesia.Your surgeon will explain the trade-off: less invasive options recover faster but recur sooner.Needle and enzyme releases are done in the office; open surgery is scheduled at a surgery center in Provo or Orem. Dr. Johnson, Dr. Frazier and Dr. Peterson operate at Utah Valley Hospital and Orem Community Hospital.

Dupuytren Contracture Release

Recovery Timeline

After needle or enzyme release, normal use within days with a night splint for several weeks.After open surgery, two to three weeks of wound healing, hand therapy, and a night splint for three to six months.Full recovery from fasciectomy takes about three months.

Milestones

Days 1 to 3Needle or enzyme: use

Week 2 to 3Surgery: wound healed

Month 3Surgery: full recovery

YearsRecurrence possible

Dupuytren Contracture Release

Risks and Considerations

Recurrence is the defining risk and is expected over years with any technique, soonest after needle release.Skin tears, nerve or artery injury, stiffness and wound healing problems are more common with open surgery.Severe, long-standing contractures of the small joint of the finger may not fully straighten.

Dupuytren Contracture Release

Your Surgeons

Dr. Johnson, Dr. Frazier and Dr. Peterson perform this procedure at Utah Valley Hospital, Orem Community Hospital, American Fork Hospital and Mountain View Hospital.

Dr. Johnson, MD

Weill Cornell graduate, hand fellowship at Allegheny General. Twenty-one years in practice and seventeen as a collegiate team physician.

Dr. Frazier, DO

Fellowship trained in hand and upper extremity surgery at the University of Pittsburgh. Seventeen years in practice. Fluent in Spanish.

Dr. Peterson, DO

Hand surgery fellowship at UMass Chan. Office-based, wide-awake carpal tunnel release. Fifteen years in practice. Speaks German.

Dupuytren Contracture Release

Related Procedures and Conditions

Trigger Finger Release

Thumb CMC Arthroplasty

Dupuytren Contracture

or call801-640-0000

ContactTalk toa real person.

Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.

Call801-640-0000

TextSend a text

Provo1055 N 300 W, Ste 104

Orem700 W 800 N, Ste 330