Mr Jeremy Read
MBBS, BSc, MSc (Sports Medicine), FRCS (Tr&Orth)

Consultant Orthopaedic Hand & Wrist Surgeon
NHS Secretary 01923 217155      Private Secretary 07565 446713
If after being assessed clinically your contracture is considered suitable for percutaneous needle
fasciotomy this can be performed in the same sitting.

The hand is prepared with an antiseptic solution and infiltrated with a small volume of local
anaesthetic. Under aseptic conditions the dense contracted tissue is weakened with multiple passes of
a small (25 gauge) needle. During the procedure you may feel a grating sensation but this should not
be particularly painful. When the cord has been sufficiently weakened the finger is extended until the
cord snaps (there may be an audible snapping sound). If there are areas of remaining contracted tissue
further needling can be performed and a repeat manipulation undertaken in the same sitting.

After needling a small dressing is applied and the hand can be used normally straightaway, although
heavy lifting should be avoided for 10 days to 2 weeks afterwards.
Percutaneous Needle Fasciotomy