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Dupuytren's contracture occurs when the connective tissue (fascia) in the palm and fingers thickens into nodules and cords. It can result in finger contractures
Dupuytren's typically presents with some of the following:
Treatment is not commissioned in cases where there is no contracture, and in patients with mild (less than 20°) contractures, or one which is not progressing and does not impair function
For these patients::
Splinting and corticosteroid injections are not of benefit
Treatment is not commissioned in cases where there is no contracture, and in patients with mild (less than 20°) contractures, or one which is not progressing and does not impair function.
Medical treatment of Dupuytren's contracture with collagenase injections (Xiapex®) is commissioned in accordance with NICE technology appraisal TA459:
In adults with a palpable cord only if all of the following apply:
Surgical intervention (needle fasciotomy, fasciectomy and dermofasciectomy) is commissioned for:
(For further information see link to the NHS Devon Dupuytren's Contracture Treatment commissioning policy)
Please refer using the e-Referral Service
This guideline has been signed off on behalf of NHS Devon CCG.
Publication date: March 2017
Updated: October 2019