Inclusion Criteria:  Age 18 years or older Contracture of 1 or more digits caused by palpable cord PIP joint flexion contracture of 20 degrees or more or; MCP joint flexion contracture of 20 degrees or more  Exclusion Criteria:  Age less than 18 years Prior CCH injection for contracture less than 1 year before start of study Prior surgical intervention for contracture less than 1 year before start of study