Fasciectomy vs Collagenase Injection in Recurrent Dupuytren Disease

Inclusion Criteria: * Seeking treatment for recurrence of Dupuytren´s contracture in at least one finger. * Passive extension deficit of 30 degrees or greater in the metacarpophalangeal and/or proximal interphalangeal joint in a finger previously treated with surgical fasciectomy, collagenase injections, or needle fasciotomy. * Palpable cord in the palm and/or affected finger causing the recurrent contracture. * No Surgery, collagenase injection or needle fasciotomy in the finger with recurrent contracture in the past 12 months. Exclusion Criteria: * Medical comorbidities that constitute a contraindication for surgical fasciectomy or collagenase injection. * Signs of nerve or vascular injury in the affected finger. * Osteoarthritis in the metacarpophalangeal and/or proximal interphalangeal joint joint in the affected finger * Complications after the previous treatment, such as infection or complex regional pain syndrome (CRPS). * Previous trauma or other surgery involving the affected finger. * More than 2 previous surgeries, collagenase injections or needle fasciotomies in the affected finger. * Examining surgeon deems further fasciectomy inappropriate or potentially associated with very high complication risk, for example in severe contracture and/or severe scarring after the previous surgeries and considers salvage procedures (such as amputation) as the more appropriate treatment. * Patient refusal to participate