Percutaneous Release of Dupuytren's PIP Contracture
  • Spiral cord identified by doppler marked with circled "S"
  • Release distal to proximal
  • Blanching indicates adequate release at that portal
  • Sudden transition to unblanched skin indicates point of tethering
  • PIP anesthetic/steroid injection facilitates stretch without producing digital nerve block
  • Passive stretch lateral and dorsal