{"id":6484,"date":"2026-03-10T21:52:44","date_gmt":"2026-03-10T21:52:44","guid":{"rendered":"https:\/\/hand-surgerymontreal.com\/?p=6484"},"modified":"2026-03-18T17:45:05","modified_gmt":"2026-03-18T17:45:05","slug":"contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie","status":"publish","type":"post","link":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/","title":{"rendered":"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie"},"content":{"rendered":"<section class=\"hand-article\">\n<h1><strong>Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie<\/strong><\/h1>\n<p>Les patients atteints de contracture de Dupuytren \u00e0 Montr\u00e9al remarquent souvent d\u2019abord un \u00e9paississement discret dans la paume : un nodule ferme, un cordon sous la peau ou des doigts qui commencent \u00e0 se plier vers la paume. Ce qui d\u00e9bute comme une petite masse indolore peut progressivement \u00e9voluer vers une contracture digitale en flexion qui interf\u00e8re avec la prise, la dext\u00e9rit\u00e9 et l\u2019autonomie dans les activit\u00e9s quotidiennes.<\/p>\n<p>Dans sa clinique priv\u00e9e de chirurgie de la main \u00e0 Montr\u00e9al, le Dr Zadeh \u00e9value personnellement chaque patient en se concentrant sur la restauration de l\u2019alignement fonctionnel, la lib\u00e9ration de la contracture et la pr\u00e9servation des performances de la main \u00e0 long terme. Le traitement de la contracture de Dupuytren exige une grande pr\u00e9cision anatomique, une \u00e9valuation attentive du stade de la maladie et un jugement chirurgical individualis\u00e9.<\/p>\n<h2><strong>Qu\u2019est-ce que la contracture de Dupuytren ? Comprendre la pathologie de l\u2019apon\u00e9vrose palmaire<\/strong><\/h2>\n<p>La contracture de Dupuytren est un trouble fibro prolif\u00e9ratif qui affecte l\u2019apon\u00e9vrose palmaire, la couche dense de tissu conjonctif situ\u00e9e sous la peau de la paume. Cette structure stabilise la main lors de la prise de force et des mouvements fins.<\/p>\n<p>Dans la maladie de Dupuytren :<\/p>\n<ul>\n<li>l\u2019apon\u00e9vrose palmaire s\u2019\u00e9paissit<\/li>\n<li>des nodules et des cordons palmaires apparaissent<\/li>\n<li>un raccourcissement progressif des bandes fasciales attire les doigts vers la paume<\/li>\n<li>une contracture digitale fixe peut se d\u00e9velopper<\/li>\n<\/ul>\n<p>Les quatri\u00e8me et cinqui\u00e8me doigts sont les plus fr\u00e9quemment touch\u00e9s. Lorsque les cordons se d\u00e9veloppent, les patients peuvent signaler :<\/p>\n<ul>\n<li>l\u2019incapacit\u00e9 de poser la main \u00e0 plat sur une table<\/li>\n<li>des cordons \u00e9pais dans la paume<\/li>\n<li>une progression de la contracture de la main<\/li>\n<li>une limitation de la prise et de la fonction de la main<\/li>\n<\/ul>\n<p>\u00ab Une intervention pr\u00e9coce vise \u00e0 pr\u00e9server la fonction avant que la raideur ne devienne structurellement permanente \u00bb, explique le Dr Teanoosh Zadeh. \u00ab Plus une articulation demeure contract\u00e9e longtemps, plus des adaptations secondaires des capsules articulaires et des tendons se d\u00e9veloppent. \u00bb<\/p>\n<h2><strong>Pourquoi la maladie de Dupuytren se d\u00e9veloppe-t-elle ? Facteurs de risque<\/strong><\/h2>\n<p>Bien que l\u2019\u00e9tiologie exacte demeure multifactorielle, la contracture de Dupuytren est fortement associ\u00e9e \u00e0 :<\/p>\n<ul>\n<li>une pr\u00e9disposition g\u00e9n\u00e9tique (la maladie est souvent h\u00e9r\u00e9ditaire)<\/li>\n<li>le sexe masculin, g\u00e9n\u00e9ralement apr\u00e8s 40 ans<\/li>\n<li>le diab\u00e8te et certaines comorbidit\u00e9s m\u00e9taboliques<\/li>\n<li>le tabagisme et les troubles vasculaires<\/li>\n<\/ul>\n<p>La pathologie implique une prolif\u00e9ration anormale des fibroblastes et un d\u00e9p\u00f4t excessif de collag\u00e8ne dans l\u2019apon\u00e9vrose palmaire, entra\u00eenant une contracture progressive sans atteinte primaire des tendons.<\/p>\n<h2><strong>Signes et sympt\u00f4mes de la contracture de Dupuytren<\/strong><\/h2>\n<p>Les patients qui consultent pour un traitement de la contracture de Dupuytren d\u00e9crivent souvent :<\/p>\n<ul>\n<li>une masse dans la paume<\/li>\n<li>des doigts qui se plient progressivement vers la paume<\/li>\n<li>des difficult\u00e9s \u00e0 serrer la main ou \u00e0 enfiler des gants<\/li>\n<li>une diminution de la force de pr\u00e9hension<\/li>\n<li>l\u2019incapacit\u00e9 de poser la main \u00e0 plat sur une table (test de la table)<\/li>\n<\/ul>\n<p>Contrairement au doigt \u00e0 ressaut, \u00e0 la rupture des tendons fl\u00e9chisseurs ou \u00e0 certaines t\u00e9nosynovites inflammatoires, la maladie de Dupuytren ne provient pas d\u2019une inflammation tendineuse. Avec le temps, la raideur articulaire peut devenir r\u00e9sistante \u00e0 toute correction passive sans intervention.<\/p>\n<h2><strong>Options pr\u00e9coces non chirurgicales (injections de cortico\u00efdes et observation)<\/strong><\/h2>\n<p>Dans les cas l\u00e9gers sans contracture significative, le traitement peut inclure :<\/p>\n<ul>\n<li>l\u2019observation et des mesures r\u00e9guli\u00e8res pour surveiller la progression<\/li>\n<li>des injections s\u00e9lectives de corticost\u00e9ro\u00efdes pour les nodules douloureux<\/li>\n<li>une \u00e9ducation sur les habitudes permettant de pr\u00e9server la fonction<\/li>\n<\/ul>\n<p>Cependant, lorsque la contracture de l\u2019articulation m\u00e9tacarpo-phalangienne (MCP) ou interphalangienne proximale (PIP) atteint un seuil fonctionnel, une intervention devient g\u00e9n\u00e9ralement plus appropri\u00e9e.<\/p>\n<h2><strong>Apon\u00e9vrotomie \u00e0 l\u2019aiguille \u00e0 Montr\u00e9al : une option minimalement invasive<\/strong><\/h2>\n<p>L\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille (aussi appel\u00e9e apon\u00e9vrotomie percutan\u00e9e) est une proc\u00e9dure minimalement invasive r\u00e9alis\u00e9e sous anesth\u00e9sie locale. L\u2019objectif est de sectionner le cordon fascial pathologique \u00e0 travers un petit point d\u2019entr\u00e9e cutan\u00e9 afin de permettre l\u2019extension imm\u00e9diate du doigt.<\/p>\n<h3><strong>Aper\u00e7u de la technique<\/strong><\/h3>\n<ul>\n<li>une aiguille fine est introduite dans la peau au-dessus du cordon<\/li>\n<li>le cordon est fragilis\u00e9 et sectionn\u00e9 de mani\u00e8re contr\u00f4l\u00e9e<\/li>\n<li>le doigt est doucement \u00e9tendu pour lib\u00e9rer la tension r\u00e9siduelle<\/li>\n<\/ul>\n<h3><strong>Avantages<\/strong><\/h3>\n<ul>\n<li>chirurgie ambulatoire sans incision<\/li>\n<li>absence de cicatrice<\/li>\n<li>r\u00e9cup\u00e9ration fonctionnelle rapide pour de nombreux patients<\/li>\n<li>proc\u00e9dure courte (10 \u00e0 20 minutes)<\/li>\n<\/ul>\n<p>\u00ab L\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille peut \u00eatre tr\u00e8s efficace chez des patients soigneusement s\u00e9lectionn\u00e9s \u00bb, explique le Dr Teanoosh Zadeh. \u00ab L\u2019objectif est de lib\u00e9rer le cordon tout en prot\u00e9geant les nerfs digitaux, les art\u00e8res et les tendons, qui peuvent \u00eatre intimement li\u00e9s \u00e0 l\u2019apon\u00e9vrose malade. \u00bb<\/p>\n<h2><strong>R\u00e9cup\u00e9ration apr\u00e8s une apon\u00e9vrotomie \u00e0 l\u2019aiguille<\/strong><\/h2>\n<p>Il y a g\u00e9n\u00e9ralement peu ou pas d\u2019arr\u00eat d\u2019activit\u00e9 apr\u00e8s la proc\u00e9dure, et la majorit\u00e9 des patients utilisent leur main presque imm\u00e9diatement.<\/p>\n<h2><strong>Apon\u00e9vrectomie \u00e0 Montr\u00e9al : quand la chirurgie ouverte est n\u00e9cessaire<\/strong><\/h2>\n<p>L\u2019apon\u00e9vrectomie est une approche chirurgicale plus traditionnelle. Au cours de cette intervention, l\u2019apon\u00e9vrose malade est retir\u00e9e afin d\u2019am\u00e9liorer l\u2019extension des doigts et l\u2019alignement de la main.<\/p>\n<h3><strong>Aper\u00e7u chirurgical<\/strong><\/h3>\n<ul>\n<li>incisions planifi\u00e9es dans la paume et le doigt atteint<\/li>\n<li>identification et protection des nerfs et art\u00e8res digitaux<\/li>\n<li>excision des bandes fasciales pathologiques<\/li>\n<li>neurolyse s\u00e9lective si les nerfs sont attach\u00e9s aux tissus malades<\/li>\n<li>attelle postop\u00e9ratoire et r\u00e9adaptation structur\u00e9e pendant plusieurs mois<\/li>\n<\/ul>\n<h2><strong>Comparaison : apon\u00e9vrotomie \u00e0 l\u2019aiguille vs apon\u00e9vrectomie<\/strong><\/h2>\n<p>Le choix entre ces deux techniques d\u00e9pend notamment de l\u2019exp\u00e9rience du chirurgien et du profil de la maladie.<\/p>\n<p>Le Dr Zadeh pratique l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille depuis plus de 20 ans.<\/p>\n<p>Pour de nombreux patients, les questions principales sont :<\/p>\n<ul>\n<li>quand pourrai-je r\u00e9utiliser ma main ?<\/li>\n<li>quelle sera la fonction de ma main apr\u00e8s le traitement ?<\/li>\n<\/ul>\n<h3><strong>Apon\u00e9vrotomie \u00e0 l\u2019aiguille<\/strong><\/h3>\n<ul>\n<li>proc\u00e9dure minimalement invasive<\/li>\n<li>r\u00e9cup\u00e9ration rapide<\/li>\n<li>aucune cicatrice<\/li>\n<\/ul>\n<h3><strong>Apon\u00e9vrectomie<\/strong><\/h3>\n<ul>\n<li>retrait plus complet du tissu malade<\/li>\n<li>peut offrir une durabilit\u00e9 sup\u00e9rieure pour les formes avanc\u00e9es<\/li>\n<li>r\u00e9cup\u00e9ration plus longue et r\u00e9\u00e9ducation intensive de la main<\/li>\n<\/ul>\n<h2><strong>R\u00e9cup\u00e9ration et soins postop\u00e9ratoires<\/strong><\/h2>\n<p>La r\u00e9adaptation fait partie int\u00e9grante du plan chirurgical. La restauration fonctionnelle exige de prot\u00e9ger les tissus trait\u00e9s tout en r\u00e9tablissant progressivement la mobilit\u00e9, l\u2019extension et la force.<\/p>\n<h3><strong>Apr\u00e8s apon\u00e9vrotomie \u00e0 l\u2019aiguille<\/strong><\/h3>\n<ul>\n<li>pansement souple pendant 1 \u00e0 3 jours<\/li>\n<li>mobilisation pr\u00e9coce et exercices de glissement des tendons<\/li>\n<li>retour au travail souvent en quelques jours<\/li>\n<\/ul>\n<h3><strong>Apr\u00e8s apon\u00e9vrectomie<\/strong><\/h3>\n<ul>\n<li>soins de la plaie et contr\u00f4le de l\u2019enflure<\/li>\n<li>physioth\u00e9rapie de la main pour restaurer l\u2019amplitude et la dext\u00e9rit\u00e9<\/li>\n<li>reprise compl\u00e8te des activit\u00e9s apr\u00e8s 12 \u00e0 16 semaines selon la gravit\u00e9<\/li>\n<\/ul>\n<h2><strong>Risques, complications et r\u00e9cidive<\/strong><\/h2>\n<p>Toutes les options de traitement comportent certains risques.<\/p>\n<p>L\u2019apon\u00e9vrectomie ouverte pr\u00e9sente g\u00e9n\u00e9ralement un taux de complications plus \u00e9lev\u00e9 que l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille.<\/p>\n<p>Les risques possibles incluent :<\/p>\n<ul>\n<li>formation ou sensibilit\u00e9 cicatricielle<\/li>\n<li>raideur articulaire, surtout au niveau de l\u2019articulation PIP<\/li>\n<li>irritation nerveuse ou neurapraxie<\/li>\n<li>cicatrisation retard\u00e9e (plus fr\u00e9quente en chirurgie ouverte)<\/li>\n<li>r\u00e9cidive li\u00e9e \u00e0 la g\u00e9n\u00e9tique et \u00e0 la biologie de la maladie<\/li>\n<\/ul>\n<h2><strong>FAQ : traitement de la contracture de Dupuytren \u00e0 Montr\u00e9al<\/strong><\/h2>\n<h3><strong>Quelles sont les options de traitement ?<\/strong><\/h3>\n<p>Observation pour les stades pr\u00e9coces, injections de corticost\u00e9ro\u00efdes pour les nodules douloureux, apon\u00e9vrotomie \u00e0 l\u2019aiguille ou apon\u00e9vrectomie.<\/p>\n<h3><strong>Quel est le meilleur traitement ?<\/strong><\/h3>\n<p>La technique associ\u00e9e \u00e0 la morbidit\u00e9 la plus faible est g\u00e9n\u00e9ralement l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille.<\/p>\n<h3><strong>Combien de temps dure la chirurgie ?<\/strong><\/h3>\n<p>apon\u00e9vrotomie \u00e0 l\u2019aiguille : environ 10 \u00e0 20 minutes<\/p>\n<p>apon\u00e9vrectomie : 60 \u00e0 120 minutes selon le nombre de cordons<\/p>\n<h3><strong>Comment se d\u00e9roule la r\u00e9cup\u00e9ration apr\u00e8s l\u2019apon\u00e9vrotomie ?<\/strong><\/h3>\n<p>La plupart des patients reprennent leurs activit\u00e9s normales en quelques jours.<\/p>\n<h3><strong>Quand la chirurgie est-elle n\u00e9cessaire ?<\/strong><\/h3>\n<p>Lorsque la contracture affecte la fonction de la main ou emp\u00eache de poser la main \u00e0 plat.<\/p>\n<h3><strong>Quel est le taux de r\u00e9cidive ?<\/strong><\/h3>\n<p>Il varie selon la technique et les facteurs biologiques individuels.<\/p>\n<h2><strong>Co\u00fbt du traitement de la contracture de Dupuytren \u00e0 Montr\u00e9al<\/strong><\/h2>\n<p>Le co\u00fbt d\u00e9pend :<\/p>\n<ul>\n<li>du type de proc\u00e9dure (apon\u00e9vrotomie vs apon\u00e9vrectomie)<\/li>\n<li>de la complexit\u00e9 de la maladie<\/li>\n<li>de l\u2019\u00e9tablissement chirurgical<\/li>\n<li>des besoins en r\u00e9adaptation postop\u00e9ratoire<\/li>\n<\/ul>\n<p>Une consultation permet au Dr Zadeh de proposer un plan clair et personnalis\u00e9.<\/p>\n<h2><strong>Consultation avec un sp\u00e9cialiste de la contracture de Dupuytren \u00e0 Montr\u00e9al<\/strong><\/h2>\n<p>Si vous remarquez :<\/p>\n<ul>\n<li>des doigts qui se plient vers la paume<\/li>\n<li>des cordons \u00e9pais dans la main<\/li>\n<li>une diminution de la force de pr\u00e9hension<\/li>\n<li>une perte progressive de dext\u00e9rit\u00e9<\/li>\n<\/ul>\n<p>une \u00e9valuation diagnostique est recommand\u00e9e \u00e0 la clinique de chirurgie de la main du Dr Zadeh \u00e0 Montr\u00e9al.<\/p>\n<p>Le traitement de la contracture de Dupuytren est le plus efficace lorsqu\u2019il est personnalis\u00e9, en fonction de votre anatomie, de votre fonction et de vos objectifs.<\/p>\n<p>Pour explorer les options minimalement invasives comme l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille ou d\u00e9terminer si une apon\u00e9vrectomie est pr\u00e9f\u00e9rable, planifiez une consultation d\u00e8s aujourd\u2019hui.<\/p>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Contracture de Dupuytren Montr\u00e9al : comparaison entre apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie pour restaurer durablement la fonction.<\/p>\n","protected":false},"author":4,"featured_media":6479,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-6484","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie<\/title>\n<meta name=\"description\" content=\"Traitement expert de la contracture de Dupuytren \u00e0 Montr\u00e9al. D\u00e9couvrez l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille et l\u2019apon\u00e9vrectomie avec le Dr Zadeh.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie\" \/>\n<meta property=\"og:description\" content=\"Traitement expert de la contracture de Dupuytren \u00e0 Montr\u00e9al. D\u00e9couvrez l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille et l\u2019apon\u00e9vrectomie avec le Dr Zadeh.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/\" \/>\n<meta property=\"og:site_name\" content=\"Hand Surgery Montreal\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-10T21:52:44+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-18T17:45:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy-1024x683.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"683\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"contact@drtzadeh.com\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"contact@drtzadeh.com\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/\"},\"author\":{\"name\":\"contact@drtzadeh.com\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/#\/schema\/person\/186d510914e678ec33683a9820eb3f2f\"},\"headline\":\"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie\",\"datePublished\":\"2026-03-10T21:52:44+00:00\",\"dateModified\":\"2026-03-18T17:45:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/\"},\"wordCount\":1585,\"publisher\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/#organization\"},\"image\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy.png\",\"articleSection\":[\"Non classifi\u00e9(e)\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/\",\"url\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/\",\"name\":\"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie\",\"isPartOf\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy.png\",\"datePublished\":\"2026-03-10T21:52:44+00:00\",\"dateModified\":\"2026-03-18T17:45:05+00:00\",\"description\":\"Traitement expert de la contracture de Dupuytren \u00e0 Montr\u00e9al. D\u00e9couvrez l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille et l\u2019apon\u00e9vrectomie avec le Dr Zadeh.\",\"breadcrumb\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#primaryimage\",\"url\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy.png\",\"contentUrl\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy.png\",\"width\":1536,\"height\":1024},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/hand-surgerymontreal.com\/fr\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/#website\",\"url\":\"https:\/\/hand-surgerymontreal.com\/\",\"name\":\"Hand Surgery Montreal\",\"description\":\"Montreal Hand Surgeon\",\"publisher\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/hand-surgerymontreal.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/#organization\",\"name\":\"Hand Surgery Montreal\",\"url\":\"https:\/\/hand-surgerymontreal.com\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Hand-Logo-2.png\",\"contentUrl\":\"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Hand-Logo-2.png\",\"width\":424,\"height\":116,\"caption\":\"Hand Surgery Montreal\"},\"image\":{\"@id\":\"https:\/\/hand-surgerymontreal.com\/#\/schema\/logo\/image\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\/\/hand-surgerymontreal.com\/#\/schema\/person\/186d510914e678ec33683a9820eb3f2f\",\"name\":\"contact@drtzadeh.com\",\"url\":\"https:\/\/hand-surgerymontreal.com\/fr\/blog\/author\/contactdrtzadeh-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie","description":"Traitement expert de la contracture de Dupuytren \u00e0 Montr\u00e9al. D\u00e9couvrez l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille et l\u2019apon\u00e9vrectomie avec le Dr Zadeh.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/","og_locale":"fr_FR","og_type":"article","og_title":"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie","og_description":"Traitement expert de la contracture de Dupuytren \u00e0 Montr\u00e9al. D\u00e9couvrez l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille et l\u2019apon\u00e9vrectomie avec le Dr Zadeh.","og_url":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/","og_site_name":"Hand Surgery Montreal","article_published_time":"2026-03-10T21:52:44+00:00","article_modified_time":"2026-03-18T17:45:05+00:00","og_image":[{"width":1024,"height":683,"url":"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy-1024x683.png","type":"image\/png"}],"author":"contact@drtzadeh.com","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"contact@drtzadeh.com","Dur\u00e9e de lecture estim\u00e9e":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#article","isPartOf":{"@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/"},"author":{"name":"contact@drtzadeh.com","@id":"https:\/\/hand-surgerymontreal.com\/#\/schema\/person\/186d510914e678ec33683a9820eb3f2f"},"headline":"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie","datePublished":"2026-03-10T21:52:44+00:00","dateModified":"2026-03-18T17:45:05+00:00","mainEntityOfPage":{"@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/"},"wordCount":1585,"publisher":{"@id":"https:\/\/hand-surgerymontreal.com\/#organization"},"image":{"@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#primaryimage"},"thumbnailUrl":"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy.png","articleSection":["Non classifi\u00e9(e)"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/","url":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/","name":"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie","isPartOf":{"@id":"https:\/\/hand-surgerymontreal.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#primaryimage"},"image":{"@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#primaryimage"},"thumbnailUrl":"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy.png","datePublished":"2026-03-10T21:52:44+00:00","dateModified":"2026-03-18T17:45:05+00:00","description":"Traitement expert de la contracture de Dupuytren \u00e0 Montr\u00e9al. D\u00e9couvrez l\u2019apon\u00e9vrotomie \u00e0 l\u2019aiguille et l\u2019apon\u00e9vrectomie avec le Dr Zadeh.","breadcrumb":{"@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#primaryimage","url":"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy.png","contentUrl":"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2026\/03\/Dupuytrens-Contracture-Montreal-Understanding-Fascia-and-Choosing-Between-Needle-Fasciotomy-and-Fasciectomy.png","width":1536,"height":1024},{"@type":"BreadcrumbList","@id":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/contracture-de-dupuytren-montreal-aponevrotomie-a-laiguille-et-aponevrectomie\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/hand-surgerymontreal.com\/fr\/"},{"@type":"ListItem","position":2,"name":"Contracture de Dupuytren Montr\u00e9al | Apon\u00e9vrotomie \u00e0 l\u2019aiguille et apon\u00e9vrectomie"}]},{"@type":"WebSite","@id":"https:\/\/hand-surgerymontreal.com\/#website","url":"https:\/\/hand-surgerymontreal.com\/","name":"Hand Surgery Montreal","description":"Montreal Hand Surgeon","publisher":{"@id":"https:\/\/hand-surgerymontreal.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/hand-surgerymontreal.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/hand-surgerymontreal.com\/#organization","name":"Hand Surgery Montreal","url":"https:\/\/hand-surgerymontreal.com\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/hand-surgerymontreal.com\/#\/schema\/logo\/image\/","url":"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Hand-Logo-2.png","contentUrl":"https:\/\/hand-surgerymontreal.com\/wp-content\/uploads\/2023\/06\/Hand-Logo-2.png","width":424,"height":116,"caption":"Hand Surgery Montreal"},"image":{"@id":"https:\/\/hand-surgerymontreal.com\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/hand-surgerymontreal.com\/#\/schema\/person\/186d510914e678ec33683a9820eb3f2f","name":"contact@drtzadeh.com","url":"https:\/\/hand-surgerymontreal.com\/fr\/blog\/author\/contactdrtzadeh-com\/"}]}},"_links":{"self":[{"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/posts\/6484","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/comments?post=6484"}],"version-history":[{"count":2,"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/posts\/6484\/revisions"}],"predecessor-version":[{"id":6490,"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/posts\/6484\/revisions\/6490"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/media\/6479"}],"wp:attachment":[{"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/media?parent=6484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/categories?post=6484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hand-surgerymontreal.com\/fr\/wp-json\/wp\/v2\/tags?post=6484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}