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       Needle aponeurotomy involves injections with local anesthetic xylocaine, and a small needle is used to divide the Dupuytren's cords. Gentle manipulation is used to break the tissue, usually resulting in immediate improvement of motion. A simple dressing or BandAid is applied to the hand. The benefit is convenience, lower cost, and earlier return to work/activites compared to surgery. 

       Infreqently there can be a skin tear that typically heals with wound care. Recurrence of the contracture is common over years, and further treatment can be performed including repeat NA, Xiaflex injection, or open surgery.

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