Despite various therapeutic approaches, partial fasciectomy remains the main method of surgical treatment for Dupuytren's disease in many hand surgery units worldwide, especially in cases of recurrence after aponeurotomy or enzymatic fasciotomy.
It is a demanding procedure and requires precise knowledge of the hand's anatomy. The contracture tissue to be removed extends deeply into the hand's structures and often extensively surrounds the vascular/nerve bundles. To avoid recurrence, complete removal is necessary without damaging important structures.
The case treated here involves a stage II contracture according to Iselin or Tubiana, with a main cord on the fifth ray and a flexion contracture of the MCP joint of 40°, as well as an accessory cord to the proximal phalanx flexion crease of the ring finger without contracture.