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Uptodate Reference Title
Local injection for Dupuytren's contracture
Local injection for Dupuytren's contracture
The hand is placed in the palm up position. Ethyl chloride is sprayed on the skin for anesthesia. A 5/8 inch, 25-gauge needle is inserted vertically adjacent to the nodular thickening in the midline over the flexor tendon, to a depth of 1/4 to 3/8 inch. 1/2 mL lidocaine and 1/4 mL triamcinolone acetonide (40 mg/mL) are injected.