{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:15:41Z","timestamp":1777662941267,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:00:00Z","timestamp":1771632000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T00:00:00Z","timestamp":1771632000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Dupuytren\u2019s disease causes progressive flexion contractures and impaired hand function. While percutaneous needle aponeurotomy (PNA) provides rapid correction with low morbidity, the effect on grip strength remains unclear. Grip strength is a key surrogate of hand function and overall health, yet it has been inconsistently evaluated as an outcome in Dupuytren\u2019s disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A prospective study was conducted at a tertiary referral center including 53 patients (80 digits) treated with PNA between February 2024 and March 2025. Standardized assessments included grip strength (Jamar dynamometer, American Society of Hand Therapists protocol), joint extension deficits, patient-reported outcomes (Southampton, Unit\u00e9 Rhumatologique des Affections de la Main [URAM]), and return-to-work data. Grip strength was reassessed at 2 months postprocedure to capture early functional recovery. Statistical analysis used paired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      tests and Wilcoxon signed-rank tests, with significance set at\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mean grip strength improved from 24.9 to 28.7 kg (mean change + 3.8 kg,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Extension deficits decreased significantly at all levels, with mean correction of 25.5\u00b0 at the metacarpophalangeal joint (MCPJ) and 29.3\u00b0 at the proximal interphalangeal joint (PIPJ) (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). At 2 months, the median URAM score was 4 out of 45, and the Southampton score was 3 out of 20, reflecting excellent functional recovery. Forty-four employed patients returned to work within 1 week. Complications were minor (skin tears n = 9, transient hypersensitivity n = 1) with no major adverse events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Percutaneous needle aponeurotomy (PNA) not only corrects digital contracture but also yields clinically significant improvements in grip strength, reinforcing its value as a functional outcome measure. These findings support PNA as a safe, effective first-line treatment for selected patients with Dupuytren\u2019s disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447261416974","type":"journal-article","created":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T08:01:01Z","timestamp":1771660861000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Improvement in Grip Strength Following Percutaneous Needle Aponeurotomy for Dupuytren\u2019s Disease: A Prospective Clinical Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5444-8925","authenticated-orcid":false,"given":"Ishith","family":"Seth","sequence":"first","affiliation":[{"name":"Peninsula Health, Frankston, VIC, Australia"},{"name":"Monash University, Frankston, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7873-4085","authenticated-orcid":false,"given":"Brett K.","family":"Sacks","sequence":"additional","affiliation":[{"name":"Peninsula Health, Frankston, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3471-8656","authenticated-orcid":false,"given":"Omar","family":"Shadid","sequence":"additional","affiliation":[{"name":"Peninsula Health, Frankston, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard J.","family":"Ross","sequence":"additional","affiliation":[{"name":"Peninsula Health, Frankston, VIC, Australia"},{"name":"Monash University, Frankston, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Warren M.","family":"Rozen","sequence":"additional","affiliation":[{"name":"Peninsula Health, Frankston, VIC, Australia"},{"name":"Monash University, Frankston, VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,21]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/life15020259"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics15050587"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.2340\/jphs.v60.42750"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14124171"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-14-131"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2006.10.007"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/17589983241227162"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-023-04984-x"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2023.02.010"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199801000-00003"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2010.180"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1142\/s0218810417500356"},{"issue":"1","key":"e_1_3_3_14_2","first-page":"30","article-title":"Percutaneous needle fasciotomy in Dupuytren\u2019s contracture: is it a viable technique?","volume":"78","author":"Pereira A","year":"2012","unstructured":"Pereira A, Massada M, Sousa R, et al. Percutaneous needle fasciotomy in Dupuytren\u2019s contracture: is it a viable technique? Acta Orthop Belg. 2012;78(1):30-34.","journal-title":"Acta Orthop Belg"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0810866"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-0362(03)00073-4"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2018.03.008"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0579.2003.00207.x"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.85338"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-52479-7.00003-X"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.06.121"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/10803548.2015.1029726"},{"key":"e_1_3_3_23_2","first-page":"109","volume-title":"Hand Function: A Practical Guide to Assessment","author":"Kuran B.","unstructured":"Kuran B. 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