The palmar fascia in Duputren’s contracture does not contract like a muscle: it’s more like the effect of an army of tiny rachets. Adjacent parallel strands of collagen are grabbed

Stiffness is a common problem after fasciectomy, particularly loss of flexion, and can be resistant to stretching exercises or splints. This therapy program, incorporating a combination of casting and active

The source of medical information is critical; objectivity is essential. That’s one of the advantages of the UK’s NHS independent review process. Read their assessment of needle aponeurotomy:http://www.dupuytrenfoundation.org/DupPDFs/2004_NICE.pdf