Dr. David Hildreth Among First Hand Specialists in Houston to Offer Advanced Needle Aponeurotomy Procedure

The Renowned Hand, Wrist and Elbow Specialist Studies the Procedure Developed in France, To Give Patients More Options

HOUSTON - In an ongoing effort to provide patients with the most advanced treatment for hand, wrist and elbow injuries and conditions, renowned orthopedic surgeon Dr. David Hildreth stepped down for a short time as associate professor at The Methodist Hospital System and Weill Medical College of Cornell University to become the student.

Traveling to the Hand Center of Florida, Dr. Hildreth studied the Needle Aponeurotomy procedure from Dr. Charles Eaton - one of the two American orthopedic surgeons traveling to France to learn the procedure from the founding physicians and bring it back to the United States.

The minimally invasive surgical procedure formally known as Needle Aponeurotomy Percutaneous Fasciotomy was developed in France by Dr. Lermusiaux of the L’hopital Laribosière, in order to help those suffering from severe Dupuytren’s Contracture nonresponsive to other treatment.

"This is a minimally invasive option for those patients who have not responded to other conservative treatments and may otherwise require traditional surgery," said Dr. Hildreth, now hand and upper extremity specialist at the Richmond Bone & Joint Clinic.

"The Needle Aponeurotomy procedure is a less invasive surgical procedure that involves the tip of a needle and tiny little puncture wounds, through which the contracted palmar fascia is divided," said Hildreth.

Hildreth added that the new procedure permits a more rapid recovery, often times allowing patients to return to normal activities without bandages within just a few days of treatment.

As a lead investigator in the study of progressive new shockwave therapy for the treatment of chronic tennis elbow, the first of its kind in Houston, Dr. Hildreth is well-known for his commitment to orthopedic advancement and finding less invasive treatment options for some of his patients’ most common upper extremity injuries and conditions.

Dr. Hildreth has served as the hand, wrist and elbow specialist at Baylor College of Medicine and The Methodist Hospital System for many years before becoming the Upper Extremity specialist at the Richmond Bone & Joint Clinic in June.

Recently featured in Newsweek magazine, Dr. Hildreth's Texas Monthly Super Doctors recognition follows an H Texas magazine Top Docs recognition and underscores his commitment to improving orthopedic care and the quality of life for his patients. Log onto to learn more, or call (713) 441-3555 to speak to a member of his staff and make an appointment. Meet Dr. Hildreth