AB232. SOH25_AB_142. Hydro dissection for Dupuytren’s disease: a case report

Background: Dupuytren’s disease is a common condition affecting the hand. This condition is characterized by abnormal fibrous tissue formation in the palms and fingers. Nodules of fibrous tissue develop in the palm. In about a 30–50% of patients, these nodules develop into cords which gradually bend the fingers into a flexed position. Over time, the finger joints become stiff and more difficult to straighten. This is called a flexion contracture. Hydro dissection, a minimally invasive technique involving injection of fluid to separate fascial layers and release entrapped nerves and tendons, has emerged as a potential treatment. Its use in Dupuytren’s disease has not been reported.

Case Description: We present the case of a 38-year-old male with refractory left hand Dupuytren’s disease. Despite extensive conservative therapies, including medications and physical therapy, he continued to experience left fifth digit contraction. Intervention: the patient underwent ultrasound-guided flexor tendon hydro dissection as a targeted approach to address perineural inflammation and nerve entrapment. Hydro dissection of the left index finger was performed. A low concentration (5%) dextrose solution was used to free the tendons from surrounding scar tissue and muscle adhesions. The procedure was performed in a theatre setting. Following the hydro dissection procedure, the patient experienced improvement finger movement, with sustained improvement over two months, at follow-up. Functional outcomes, including range of motion and daily activities, improved substantially. No complications were reported.

Conclusions: This case supports the potential role of dextrose hydro dissection as a safe, minimally invasive treatment option for Dupuytren’s disease. Hydro dissection offers an alternative to more invasive interventions and warrants further investigation in the management of Dupuytren’s disease.

Keywords: Trigger finger; Dupuytren’s disease; case report