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ICE System (Draft)
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1. Gastro–intestinal System Guidelines
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8. Malignant Disease and Immunosuppression
9. Nutrition and Blood
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11. Eye
12. Ear, Nose and Oropharynx
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14. Immunological products and vaccines
15. Anaesthesia
16. Palliative Care
17. Miscellaneous Preparations
1. Gastro–intestinal system Guidelines
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20. Appliances and Part IX
Specialist Falls Service
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Primary Care Liaison Service
Dupuytren's disease is a benign, progressive fibroproliferative condition of the hand. It causes the bands of connective tissue in the palm to thicken and form nodules and cords. The cords can slowly (over months or years) contract and pull the digits towards the palm resulting in a contracture. (1)
Treatment for Dupuytren’s contracture is usually only required if the condition affects the function of your hand. Many cases are mild and don't need to be treated. The treatment used largely depends on the severity of the condition.
NHS treatment is only available if certain criteria are met as described in the BNSSG Dupuytren’s Contracture Release in Adults Policy.
In cases that require treatment, nonsurgical treatments or a minor procedure called a needle fasciotomy may be recommended.
For more severe cases, surgery is an effective and widely used treatment.
The two most common surgical procedures are an open fasciotomy and a fasciectomy.
If criteria are met then referrals should be made via the Musculoskeletal Interface (MSKI) Service which is usually available via managed referral on most EMIS systems. Referrals will be triaged, assessed and treatment offered where appropriate. If criteria for referral is not met then referrals may be returned.
(1) Dupuytren's Disease - Clinical Knowledge Summaries (November 2015)
Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.
Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.