Combined treatment of collagenase and the novel use of Nokor® needling in Dupuytren’s contracture: A case report

Mónica Navarrete-Martínez, Dermatology Department, Centro Dermatológico Polanco Los Cabos, Cabo San Lucas, Baja California Sur, Mexico
Michel A. Orozco-Brizuela, Centro Dermatológico Polanco Los Cabos, San José del Cabo, Los Cabos, Baja California Sur, México
José Contreras-Ruiz, Dermatology Department, Centro Dermatológico Polanco Los Cabos, Cabo San Lucas, Baja California Sur, Mexico

Dupuytren’s contracture (DC) significantly impacts hand function and quality of life in those affected. Common treatments include collagenase injections, percutaneous needle fasciectomy, and open surgical fasciectomy, but complications and recurrences are frequent. This article presents the first documented use of the Nokor™ needle, to prevent skin tearing during DC treatment with collagenase. The Nokor™ needle’s precise subcision technique offers a less invasive alternative to fasciotomy, highlighting its potential role for dermatologists in managing DC effectively.

Keywords: Contractura de Dupuytren. Fibromatosis palmar. Colagenasa. Aguja admix. Subincisión.