• Flexion contractures in digits 
  • Pathologic thickening and proliferation of the fascial elements
  • Contractures of the metacarpophalangeal joints of >30°  and fixed contractures of the proximal interphalangeal joints require intervention
  • Collagenase injections significantly reduced contractures and improved range of motion in affected joints
  • Needle aponeurotomy has compared favorably to traditional fasciectomy in terms of residual extension deficit and overall hand function
  • Recurrence after surgery -0% to 71%

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