Dupuytren Contracture — Limited Fasciectomy, Needle Fasciotomy and Collagenase Injection: Correction, Recurrence and Hand Therapy Afterward

Physical therapists, physical therapist assistants working under the direction and supervision of a physical therapist, and certified hand therapists who manage patients after treatment for Dupuytren contracture.

Licensed physical therapists, physical therapist assistants, occupational therapists and certified hand therapists in outpatient orthopedic, hand and upper extremity settings. Physical therapist assistants may take this course; the plan of care, evaluation and progression decisions described remain the physical therapist’s responsibility, with the assistant carrying out the plan under the therapist’s direction and supervision.

Intended audience

Physical Therapy

Level

Intermediate

Delivery format

Online, asynchronous, self-paced course: interactive reading with audio or video, and a scored post-test.

Based on

This course is based on two peer-reviewed sources, reported as the papers report them.

van den Berge BA, Habibi H, Dijkstra PU, Atroshi I, Davis TR, Jenmalm P, van Rijssen A, Selles RW, Scherman P, Strömberg J, Skov ST, Vögelin E, Werker PM, Broekstra DC. Outcomes of limited fasciectomy, needle fasciotomy and collagenase injection for Dupuytren’s disease: a systematic review and meta-analysis of individual patient data. J Hand Surg Eur Vol. 2025;50(7):878-890. doi:10.1177/17531934251338349

Karjalainen VL, Soikkeli J, Räisänen MP, Leppänen OV, Reito A, Stjernberg-Salmela S, Buchbinder R, Karjalainen T. Progression of Dupuytren Contracture: A Randomized Controlled Trial Comparing Surgery, Needle Fasciotomy, and Collagenase Injection. Plast Reconstr Surg. 2026;158(1):101-112. doi:10.1097/PRS.0000000000012666

After completing this course, you will be able to:

1. Describe what the individual patient data meta-analysis reported about contracture correction, complications and time to recurrence after limited fasciectomy, needle fasciotomy and collagenase injection.
2. State what the DETECT randomized controlled trial reported about contracture progression and retreatment in treated fingers, adjacent untreated fingers and all untreated fingers over two years.
3. Distinguish where the two papers agree and where they diverge on correction and durability, and explain what each paper's findings mean for the clinician seeing the patient after the procedure.

1. Start Here: The Clinical Question and How This Course Is Built
2. Part One: Comparing Limited Fasciectomy, Needle Fasciotomy and Collagenase Injection Across Pooled Patient Data
3. The Patients and Studies Behind the Pooled Analysis
4. How the Reviewers Gathered the Data and Defined Each Outcome
5. Correction, Complications and Time to Recurrence
6. What the Authors Concluded and Where the Evidence Is Thin
7. Part Two: How Contracture Progresses After Surgery, Needle Fasciotomy and Collagenase Injection
8. Who Enrolled in the DETECT Trial and How They Were Treated
9. How Progression and Retreatment Were Measured
10. Progression in Treated Fingers, Untreated Fingers and the Need for Retreatment
11. Risk Factors, Trial Limits and the Two-Year Picture
12. Bringing It Together
13. Where the Two Papers Agree on Correction and Durability
14. Where the Findings Diverge and Which Paper Reported What
15. What This Means at the Hand Therapy Table
16. What the Evidence Still Leaves Open
17. Key Takeaways
18. Post-Test and Course Evaluation

Quinn Millington, PT, DPT, ECS is the instructor of record: the licensed clinician who reviewed this course and signed off on it. The name and credentials print on the certificate.

Disclosures. This course was developed by The ConEd Solution, which has a financial interest in its sale. No outside funding or sponsorship was received. The instructor of record has no affiliation with the authors of the source publication or their institutions.

This course awards 1.0 contact hour (60 min). How you earn them:

1. Complete the course. Every lesson, in order.
2. Pass the post-test. Score 80% or higher. Retakes are allowed.
3. Complete the evaluation. A short form rating each learning objective and the course.
4. Download your certificate. It is issued on completion and stays available in My Account.

The episode time is its measured length. Reading, post-test and evaluation times are estimates.

This course is designed to satisfy the quality requirements state boards set for continuing education. Requirements vary by state, and confirming that a course fits your renewal is up to you. Each state’s own acceptance statement is in the credit panel on this page.

1. van den Berge BA, Habibi H, Dijkstra PU, Atroshi I, Davis TR, Jenmalm P, van Rijssen A, Selles RW, Scherman P, Strömberg J, Skov ST, Vögelin E, Werker PM, Broekstra DC. Outcomes of limited fasciectomy, needle fasciotomy and collagenase injection for Dupuytren's disease: a systematic review and meta-analysis of individual patient data. J Hand Surg Eur Vol. 2025;50(7):878-890. doi:10.1177/17531934251338349
2. Karjalainen VL, Soikkeli J, Räisänen MP, Leppänen OV, Reito A, Stjernberg-Salmela S, Buchbinder R, Karjalainen T. Progression of Dupuytren Contracture: A Randomized Controlled Trial Comparing Surgery, Needle Fasciotomy, and Collagenase Injection. Plast Reconstr Surg. 2026;158(1):101-112. doi:10.1097/PRS.0000000000012666