Needle fasciotomy for Dupuytren's contracture

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on this procedure.

Description

Needle fasciotomy is an outpatient procedure where one or more fibrous bands (contractures) are cut (sectioned) using a blade or a bevel of a needle. Section is achieved by moving the needle in a sawing motion against the fibrous band. This movement is repeated several times, each time after rotating the needle in a star-shaped pattern in the plane of the palm.

Once partial section has been achieved the finger is extended causing the band to snap. A dry bandage is then secured by elastic tape and placed over the injection site for at least 48 hours.

OPCS4.6 Code(s):

T54.1 Division of palmar fascia

or

T54.8 Other specified division of fascia

Note:T54.8 is used to classify digital fasciotomy.

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

Details

Contact details:

Links:

	IPG043 Needle fasciotomy for Dupuytren's contracture: guidance (web format)	07 February 2011
	IPG043 Needle fasciotomy for Dupuyren's contracture - guidance	17 February 2004
	IPG043 Needle fasciotomy for Dupuytren's contracture - information for people considering the procedure, and for the public	17 February 2004
	IPG043 Needle fasciotomy for Dupuytren's contracture, distribution list	17 February 2004
	Interventional procedure consultation document - needle fasciotomy for Dupuytren's contracture	23 October 2003
	Overview of needle fasciotomy for Dupuytren's contracture	23 October 2003