An alternative treatment for contractures of the elderly institutionalized persons: Microinvasive percutaneous needle tenotomy of the finger flexors

Real-world Medicare Healthcare Costs of Patients with Dupuytren’s Contracture Treated with Collagenase or Fasciectomy

“…Notably, the difference in outpatient visits was also not observed. These findings may be explained by the fragility and comorbidity burdens of the older population who require closer postprocedural monitoring and careful follow-up, 19 which may impact earlier recovery and lower outpatient visit rates observed in the previous studies. 12,20…”

“…19 Around 10% of older adults in nursing homes have a fixed flexion deformity of fingers. 19 Almost two-thirds of older patients in nursing homes had at least one joint contracture, with hand and fingers affected in about 20% of cases. 23 Because of all these interesting findings, we considered it an opportunity for this study to shed light on this population.…”

“…22 The use of less invasive procedures might be more suitable for older patients with DC, due to the possible risks and complications related to procedures performed under general anesthesia. 19 Around 10% of older adults in nursing homes have a fixed flexion deformity of fingers. 19 Almost two-thirds of older patients in nursing homes had at least one joint contracture, with hand and fingers affected in about 20% of cases.…”

Emerging Technological Advances in Musculoskeletal Ultrasound

“…In a prospective randomized trial of open versus US‐guided percutaneous trigger finger release, the US‐guided approach resulted in fewer days of work missed and better cosmetic results in comparison with the open surgery technique [56]. Percutaneous needle tenotomy has been used successfully to treat muscle and tendon contractures associated with neurological disorders as an alternative to surgical lengthening or release [59,60]. US guidance can be used to enhance needle guidance in these procedures.…”