Update on Dupuytren Disease: Pathogenesis, Natural History, Treatment, and Outcomes | Journal CME Article-Video 2

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Video Summary

Collagenase injection for Dupuytren contracture targets a palpable cord causing over 20-degree contracture in MCP or PIP joints, avoiding tendon injury. The injection is performed at the mid-cord area, with precautions to prevent flexor tendon rupture, especially at the PIP joint of the little finger. Following injection, patients are seen within 24 hours for gentle finger extension to promote cord rupture and may experience skin tears, which heal with ointment and bandages. Full finger movement is crucial during healing. Patients typically regain full extension and flexion, continuing night splint use and exercises for up to 4 months.

Keywords

Collagenase injection

Dupuytren contracture

MCP and PIP joints

finger extension

night splint