Percutaneous needle aponeurotomy
Although superficially this seems like a good idea because it is performed with minimal down-time, most experienced and certified hand surgeons will also tell you that this is the most dangerous procedure possible. The reason is because this is done without any visualization of associated anatomic structures: thus, there’s a very high level of associated tendon nerve and vessel injury in the hand with this technique.
Also, this technique has the highest incidence of recurrent disease of all treatments possible. The very high associated complication rate, and the highest incidence of recurrent disease make this procedure the least desirable of all treatment options.