{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:02:48Z","timestamp":1777852968024,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T00:00:00Z","timestamp":1631145600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>In this article we take an international perspective on the use of needles, either percutaneous needle fasciotomy (PNF) or Clostridial Collagenase Histiolyticum (CCH), in treating Dupuytren\u2019s Disease (DD). Worldwide, PNF is now used more frequently. The CCH has been withdrawn from non-USA markets, which lessens its use. Different patients have different preferences, while different surgeons have different skills and opinions. The surgeon should fully consider the patient\u2019s preference and should also, in view of the scarcity of surgical resource and the potential hazard of surgery, reconsider and expand the use of a needle rather than an operation. In the future, a cheaper, yet equally safe and effective alternative to CCH, will provide a useful clinical tool for those cords, which, in the surgeon\u2019s personal Venn diagram, are too challenging for PNF, but the patient does not want to have surgery.<\/jats:p>","DOI":"10.1177\/17531934211043307","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T03:25:32Z","timestamp":1631157932000},"page":"80-88","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Dupuytren\u2019s disease: using needles more across the world"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3030-442X","authenticated-orcid":false,"given":"David","family":"Warwick","sequence":"first","affiliation":[{"name":"University Hospital Southampton, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"NM Werker","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, University of Groningen and University Medical Centre Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary","family":"Pess","sequence":"additional","affiliation":[{"name":"Central Jersey Hand Surgery, Eatontown, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Hirata","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Graduate School & Faculty of Medicine Nagoya University, Nagoya, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J","family":"Hunter-Smith","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Peninsula Clinical School at Monash University, Melbourne, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,9]]},"reference":[{"key":"bibr1-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000006828"},{"key":"bibr2-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2004.06.004"},{"key":"bibr3-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-73595-y"},{"key":"bibr4-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1713947"},{"key":"bibr5-17531934211043307","unstructured":"Badois FJ, Lermusiaux C, Masse C, Kuntz D. Nonsurgical treatment of Dupuytren disease using needle fasciotomy. Rev Rhem (Engl Ed.). 1993a, 60: 692\u20137."},{"key":"bibr6-17531934211043307","first-page":"808","volume":"60","author":"Badois FJ","year":"1993","journal-title":"Rev Rhum Ed Fr"},{"key":"bibr7-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2016.03.003"},{"key":"bibr8-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.10.002"},{"key":"bibr9-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410397971"},{"key":"bibr10-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002857"},{"key":"bibr11-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.02.016"},{"key":"bibr12-17531934211043307","first-page":"1699","volume":"31","author":"Egawa T","year":"1980","journal-title":"Seikeigeka"},{"key":"bibr13-17531934211043307","doi-asserted-by":"publisher","DOI":"10.34239\/ajops.v2i1.73"},{"key":"bibr14-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1111\/ans.14988"},{"key":"bibr15-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(03)00013-5"},{"key":"bibr16-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.06.099"},{"key":"bibr17-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2010.08.007"},{"key":"bibr18-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-015-9740-4"},{"key":"bibr19-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416653249"},{"key":"bibr20-17531934211043307","unstructured":"Hueston JT.\n                      Dupuytren\u2019s contracture\n                      , 1st Edn. Edinburgh and London: E & S Livingstone Ltd, 1963."},{"key":"bibr21-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-015-0476-7"},{"key":"bibr22-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001878"},{"key":"bibr23-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3182958a33"},{"key":"bibr24-17531934211043307","volume":"30","author":"Lee KH","year":"2018","journal-title":"J Korean Med Sci"},{"key":"bibr25-17531934211043307","unstructured":"Lermusiaux JL, Debeyre N. Le traitement medical de la maladie de Dupuytren, Rhumatologique. Paris: Expansion Scientifique, 1979: 338\u201343."},{"key":"bibr26-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1007\/s00238-018-1490-4"},{"key":"bibr27-17531934211043307","first-page":"516","volume":"26","author":"Matsuzaki H","year":"2010","journal-title":"J Jpn Soc Surg Hand"},{"key":"bibr28-17531934211043307","unstructured":"McFarlane RM. Some observations on the epidemiology of Dupuytren\u2019s Disease. In Hueston JT, Tubiana R, (Eds.)\n                      Dupuytren\u2019s disease\n                      . London, Churchill Livingstone, 1985: 123."},{"key":"bibr29-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.08.023"},{"key":"bibr30-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2013.08.096"},{"key":"bibr31-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1142\/S2424835520500502"},{"key":"bibr32-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2015.04.036"},{"key":"bibr33-17531934211043307","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414528843"},{"key":"bibr35-17531934211043307","doi-asserted-by":"crossref","unstructured":"Pess GM. Effect of delayed finger extension on the efficacy and safety of Collagenase Clostridium Histiolyticum Treatment for Dupuytren Contracture. 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