Dupuytren’s Contracture

Dupuytren’s contractures develop as a result of the thickening of palmar fascia in your hand.

Modern Orthopaedics of New Jersey is a team of nationally recognized orthopedic experts specializing in the treatment of upper extremity conditions.

Call us at 973-898-5999

Our Locations

Wayne, NJ

Orthopedic Office

Parsippany. NJ

Orthopedic Office

About Dupuytren’s Contracture

Dupuytren’s contractures develop as a result of the thickening of palmar fascia in your hand. Cords may begin as a thick area of tissue in the palm or finger, but over time they may pull the fingers down and prevent the fingers from fully straightening. This deformity is more common in people with Northern European heritage. There is no specific known cause of the development of the contractures. It is easily diagnosed upon physical examination by a hand specialist. Usually the cords develop slowly and sometimes they may remain as a small painless nodule that doesn’t affect finger extension. If this is the case, there is generally no treatment that is needed. Over time the cord may begin to tether the fingers down and affect hand function. Once the bands begin to cross the finger joints causing contractures that affect daily life the patient may be a candidate for treatment with Xiaflex injections. See our “Treatments” section for more on “Xiaflex injections.”

 

Recognized & Awarded Care
Year After Year!

De. Peter DeNoble - Orthopedic Surgeon New Jersey

The first step to solving any issue is to truly understand the root cause of the problem. At Modern Ortho, we believe in going the extra mile to diagnose the exact problem the first time. 
Get started today by requesting an appointment. A dedicated care coordinator will contact you as soon as possible to learn about your condition or injury.

HIPAA Secure

Appointment Request

You will receive an automated email and text message confirmation that we received your request.

Meet Our Top Docs

New Jersey Monthly’s Top Doctors list is out for 2020 and our physicians made the list!

Awarded Care in NJ

De. Peter DeNoble - Orthopedic Surgeon New Jersey

Never Let An Injury Stop You

The benefits of an active lifestyle and living your passions are endless. Get back to your life, painfree. It all starts with an accurate diagnosis.

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Testimonial for Dr. DeNoble

“Went to Dr. DeNoble after 10 years of elbow pain, he knew what was wrong and suggested surgery to fix it and since surgery, I haven’t had any pain at all!”

Coming in 2023 - #Paramus meets Modern Ortho! 💫

Music: Miami
Musician: Deleted Account
Site: https://icons8.com/music/
...

Paramus Office Project - Glass! 😎 ...

October Paramus Building Update:

1) Parking lot / sidewalks / entry ways nearly complete.

2) Most of the windows are in.

3) Stairs to second floor are in (not shown).

**Bonus - I invent a new word during the video tour (was after a full day of OR! 🤣)**

@peterdenoblemd
@modernorthointheor

#shouldersurgery #handsurgery #hipreplacement #kneereplacement #orthopedics #upperextremity #nervesurgery #nervesurgeon #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer #handsurgery
...

Modern Ortho and friends at @handsociety annual meeting - Boston 2022!

@peterdenoblemd
@davidratliffmd

#assh #orthopedics #upperextremity #nervesurgery #nervesurgeon #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer #handsurgery
...

Drop it like it’s hot! 🔥
Paving Modern Ortho in Paramus!

#orthopedicsurgery #handsurgery #bonedoctors
...

End-of-Summer Paramus Building Update!

1) Framing on outside walls
2) HVAC Install
3) Rock Wool Insulation - FORMALDEHYDE FREE - **special order** (I insisted to ensure healthy air in the workplace) 🌲🌏

Much more happening in the weeks to come… the construction is hitting high gear!

@modernorthointheor
...

Congrats to @jamietarrr for completing her summer OR/office internship with Modern Ortho! 🙌

We enjoyed having Jamie as part of our team, as she always had pleasant energy in the office and the OR, asked great questions, and helped out wherever she could… including a huge assist on social media! 😎

Best of luck in your senior year of college, and we wish you great success in the future!!

Oh, and for her last day in the OR, we did some interesting stuff! ✂️
👍 Trigger thumb release
🫴 Middle finger contracture release
💪 Ulnar nerve transposition at the elbow
🦴 ORIF (fixation) of a 4th metacarpal neck fracture, hamate fracture, and 4th and 5th carpometacarpal dislocations.🦴

@big_timetimmy_jim
@peterdenoblemd

#orthopedics #upperextremity #nervesurgery #nervesurgeon #orthopedicsurgeon #handtherapy #occupationaltherapy #physicianassistant #athletictrainer #handsurgery #cubitaltunnelsyndrome #cubitaltunnelrelease #fracture #handinjury #finger
...

Operating Room Waste Challenge! 🗑

Fellow surgeons, is there a way for you to work with your operating room to create a more “slimmed down” pack for your smaller cases that would be more proportional and environmentally friendly??

Anyone who works in an OR knows how just about every single case performed in this country generates an entire garbage bag worth of trash (paper AND plastic)!!

There has been a number of efforts in recent years to identify this problem in the literature, but programs that effectively change behavior in large hospital systems are elusive. The fact remains that the US healthcare system generates 4 million tons of solid waste annually (2010 estimate), and between 20% and 33% of hospital waste is attributed to the OR.

Limiting this waste should also align financially with the bottom lines of operating room expenses, and hospitals in general.

Should there be federal tax incentives to promote these initiatives, just as they have done for the EV and solar industries??

I believe that waste stewardship in the OR should be paramount as we make an effort as a country and a world to be as environmentally conscious as we can be for our planet’s future.

Thoughts??

Modern Orthopaedics of New Jersey

#ORwaste #taxincentives #orthopedicsurgery #trash #environment
...

#MeetOurStaff Get to know our Director of Operations, Jenn! MONJ would not be the same without you. ...