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Dupuytren's Contracture

Definition

Dupuytren's contracture is a progressive disorder that affects the palmar fascia, causing the fibrous tissue to shorten and thicken, which may prevent full extension of the hand and limit function.

Commissioning Position

Treatment is not indicated where there is no contracture or it is mild (less than 20°) or not progressing and does not impair function.

NHS Scarborough & Ryedale and Vale of York CCG’s will commission surgical treatment for Dupuytren’s Contracture only in the following circumstances.

An intervention (collagenase injections; needle fasciotomy; fasciectomy and dermofasciectomy) should only be considered (and IFR approval is not required), when the patient meets at least one of the following functional difficulties:

Treatment in all other circumstances is not routinely commissioned and should not be referred unless clinical exceptionality is demonstrated and approved by the Individual Funding Request panel.

NICE concluded that collagenase treatment (Xiapex) should only be used for:

Please click here to view the full Dupuytren's Contracture Commissioning Statement.  

Referral Form

Please click here to view the referral form.

Patient Information Leaflets (PILs)
Dupytrens Contracture Patient Information Leaflet: click here