Midwest
Orthopaedic Center
6000 N. Allen Rd.
Peoria, IL 61614
mail@doctormahoney.com
office (309) 691-1400
Dupuytren's Disease and Needle Aponeurotomy
Introduction
Dupuytren's disease is a condition that affects the palm of the hand, forming contracted cords (Figure 1). It is more common in men and found most commonly in people with a Celtic genetic background (Irish, Scottish, Scandinavian, Northern European), although it is found in people of many different ancestries. There is a genetic predisposition, but the exact mechanism is not known. It affects the connective tissue in the palm known as palmar fascia (normal tissues are shown in Figure 2), which is the tissue that helps stabilize the palm skin. read more...
Needle AponeurotomyI have a special interest in minimally invasive surgery, including Needle Aponeurotomy (N.A.) for the treatment of Dupuytren's Disease. Needle Aponeurotomy is a simple office procedure that uses the bevel of a hypodermic needle to divide the tethering cords of Dupuytren's disease. I am pleased to offer Needle Aponeurotomy for the treatment of Dupuytren's Disease. read more... Open SurgeryOpen surgery is a reliable method of treating Dupuytren's disease. It is more invasive, and generally requires longer recovery. read more... New Videos of Needle AponeurotomyI have recently recorded a patient being treated by me with needle aponeurotomy. Two other physicians have posted their videos demonstrating Needle Aponeurotomy. The first video is by Dr. Klein, the second video is by Dr. Belcher. Schedule an AppointmentDr. John Mahoney is accepting new patients for treatment of Dupuytren's disease. You may request an appointment for treatment at a time that is convenient to you. read more... Recovery After Needle Aponeurotomy"I just had needle aponeurotomy. What do I do?" Needle aponeurotomy is a simple procedure that allows rapid recovery. Some patients have returned to work the same day. read more... Clinical Evidence of the Safety and Efficacy of Needle AponeurotomyThere is a gathering body of literature regarding the clinical success of needle aponeurotomy. This is summarized for your perusal. read more... New York Times Article Features Needle AponeurotomyA recent article in the New York Times described Dupuytren's disease and the use of needle aponeurotomy for treatment. read more... Clinical Trial of Xiaflex (Collagenase) for the treatment of Dupuytren's Disease has BegunCollagenase is an enzyme that dissolves the cord of Dupuytren's disease while protecting normal tissues around it. read more... |
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Figure 1 Typical contractures of Dupuytren's Disease |
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2 The normal subcutaneous structures of the palm of the hand. |
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Dr. Mahoney demonstrates needle aponeurotomy on a recent patient. |
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Dr. Eaton demonstrates needle aponeurotomy for the treatment of Dupuytren's contracture |
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Watch a video of minimally invasive treatment of Dupuytren's Contracture. |
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Training Dr. John Mahoney is a board-eligible orthopaedic hand surgeon. He received training in needle aponeurotomy while completing his fellowship in hand surgery. read more... |