Needle fasciotomy for Dupuytren's contracture (IPG43)
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.
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.
T54.1 Division of palmar fascia
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
- IPG043 Needle fasciotomy for Dupuytren's contracture: guidance (web format)
- IPG043 Needle fasciotomy for Dupuyren's contracture - guidance
- IPG043 Needle fasciotomy for Dupuytren's contracture - information for people considering the procedure, and for the public
- IPG043 Needle fasciotomy for Dupuytren's contracture, distribution list
- Interventional procedure consultation document - needle fasciotomy for Dupuytren's contracture
- Overview of needle fasciotomy for Dupuytren's contracture
This page was last updated: 15 June 2012
Information for the public
Implementation tools and resources
- None available
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.