Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
DUPUYTREN'S


WHAT YOU SHOULD KNOW

Dupuytren's contracture is a special disease that is transmitted genetically from Northern European ancestors. It causes the layer of tissue under the skin but above the tendons and joints to spontaneously contract slowly. Eventually the skin becomes attached and the joints become permanently flexed. No medications, therapy or splints can stop the process. Patients are counseled to follow periodically with an expert in hand surgery until advised that the condition has advanced enough to merit undergoing surgery. Treatment is reasonable to consider when one or more fingers have actually become stuck in a forward bent position that interferes with daily function. .

MEDICAL HISTORY

Patients often cannot even remember the number of years the nodules or cords of tissue have been present in the palm of the hand. They note progressive stiffness, mild pain grasping objects, and eventually loss of function in the hand.

EXAMINATION

The doctor will note each location of involvement including the degree of skin puckering or bonding and the measurement of each joint contracture.

ADDITIONAL TESTS

Plain x-rays will reveal any underlying arthritis in the affected joints that may make achieving good motion more difficult.

TREATMENT OPTIONS

  NO INCISIONS INCISIONS ONLY AS NEEDED
CONSISTS OF Needle used to disrupt contracted cord of tissue Surgical excision of the diseased tissue
FEATURES Abnormal tissue only separated but not removed Extent of incision depends on goals for removal of tissue
ADVANTAGES No incision More complete correction, less recurrence
DISADVANTAGES Less correction, faster recurrence More scar formation and trouble healing the surgical wounds

Using a needle to disrupt the diseased tissue is called "percutaneous aponeurotomy". Some doctors may offer another way to disrupt the diseased tissue, but only at one point with no actual removal of the diseased tissue by injecting a liquid enzyme "collagenase" into the hand. At best it only accomplishes the same as needle aponeurotomy but with several additional risks. The liquid enzyme can disrupt any body structure made out of the molecule collagen which is the main component of tendon, nerve, and skin. Complete tendon rupture has occurred with the use of collagenase injection. Also the manufacturer warns specifically about the need to be fully prepared to resuscitate a patient from anaphylactic shock (which can be fatal) as anaphylaxis could occur from collagenase injection. Since most of these injections would be given in a medical office building rather than a hospital, this may not be the safest practice for patients.

RECOVERY

Sutures are removed after 2 weeks in the office. Outpatient rehabilitation exercises are started immediately to regain motion. Use of the hands for everyday activities is encouraged right from the start. Wound healing issues, pain and swelling are very individual and determine how many weeks after is surgery is really practical for good hand use. Therapy continues for a period of several months until the motion achieved has been maximized. Splints to maintain the straight position are worn at night for up to 4-6 months after surgery.
 
 
 
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  • I have never doubted I was in the best possible hands here. I cannot correctly express my gratitude. Thank you all very, very much for everything you've done for me. - 11/09/16
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • very impressed with the whole experience. - 02/28/17
  • Dr. Henry and each and every one of the staff we met exhibited a spirit of excellence in every area. From the first visit we were comfortable and confident that we would be well taken care of. - 09/28/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • thank you for all you have done! I recommend you foranyone that is having any problems via hand wrist. Amazing surgon and doctor!!! - 02/01/17
  • Great staff, Great Doctor, Great surgery, recovery, and follow up. Thank you for the time and attention with helping me through the entire process. I felt very comfortable and safe with the entire process. - 02/10/17
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Thank you to everyone here with my surgery and healing process! I really felt comfortable with everyone on the staff and feel as though I came to the best place possible for my surgery. THANK YOU!!!! - 09/09/16
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • Everyone is always nice - 12/14/16
  • great - 10/06/16
  • Great Appoitnment - 05/11/17
  • I was impressed at how fast I was able to get an appointment. The staff was very helpful and the doctor was amazing! - 12/08/16
  • :) - 06/01/17
  • I enjoyed my visit - 11/14/16
  • thank you - 02/09/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Wonderful work no issues - 11/17/16
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • thank you for helping me - 02/03/17
  • This was only a consult, but I felt that I was leaving with enough information and a plan on the next step needing to be taken. - 09/26/16
  • Great staff. - 05/02/17
  • The staffs here was GREAT!!!! - 06/21/17
  • ;) - 09/08/16
  • Everyone was great and very helpful. Our family really appreciates the medical attention my son received from his injury. Thank you so much. - 11/01/16
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Dr. Henry has the best verbal skills I have witness on a physician; and, I have been a physician myself for decades! - 12/01/16
  • Thank you for the hard work and excellent care. If ever I need this type of care again I will be knocking on your door. I've already recommended your services to others. Thanks Again! - 03/07/17
  • Great work. - 02/03/17
  • Very knowledgeable about the possible procedures the could be preformed! Dr. Henry is a very honest person and I appreciate that in a man more than anything. He gave me truth and not what I wanted to hear! Thanks - 04/04/17
  • Very pleased with the staff and Dr. Henry. Would highly recommend Dr. Henry to my family and friends in the future. Love this place!!! - 09/07/16
  • I was very impressed with how I was treated by the doctor as well as the Medical assistant. All my questioned were answered and I was treated with care and respect. Luis was Awesome! Doctor Henry was very informative. I will recommend him to friends and family - 06/09/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • I will definitely recommend your practice to my friends and family. Thank you very much for seeing me and for the very detailed explanation! - 10/14/16
  • very helpful staff - 01/16/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • Thank you for the help. - 11/10/16
  • Great Appoitnment - 05/11/17
  • Had a wonderful experience overall. Breaking my arm was tough but the staff here was always very, kind and helpful. Especially Dr. Henry, Mary, Karen, Luis, Joel, Teresa and David. I'll miss them all but hopeful won't have to see them any time soon :)Thank you! - 05/04/17
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Great friendly staff - 10/28/16
  • Awesome experience. Luis rocks! - 04/06/17
  • very good team work, best clinic - 06/21/17
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • I have enjoyed this facility and Dr. Henry has been more than helplful. All questions answered, as well as answers I didn't even know I had! The staff is always helpful. - 03/03/17
  • Very happy I came here for the surgery, etc. - 06/09/17
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • always outstanding service! - 04/12/17
  • great job! - 03/20/17
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • The doctor was very informative and provided me with a solution quickly and I really appreciate that in this day and age. This is an awesome institution. - 03/02/17
  • Luis was very kind and helpful with all of my questions and concerns. He also assisted me with obtaining supplies for my brace and hand until I can get to therapy. - 10/21/16
  • :) - 05/11/17
  • The Doc is awesome and his staff is on their game, the wait can be a little long but you get that when you are dealing with elite care. - 09/19/16
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • Thank you! - 03/08/17
  • Amazing services and results. Unique experience - 10/31/16
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Great detailed information. - 11/03/16
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • excellent! dr & staff! - 06/14/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • some of the most friendly staff and the doctor always explained the information in a manner in which I could understand which always made it very helpful. will definitely recommend this location to family and friends. - 05/31/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Awesome as always! - 10/11/16
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • At every interaction with your office: consultation with Dr. Henry, day of surgery, need for prescription refills, all follow-up visits, I felt comfortable, welcome, and well informed. On the day of my last visit, I am very optimistic about the function of my left hand. Thank you. - 09/07/16
  • Very professional - 03/30/17
  • We have had the best experience here. The staff has always accommodated us and since Tyler is only 10, they always go out of their way to make sure we are comfortable. I have and will continue to recommend Dr. Henry and his staff to anyone I know. Thanks! - 02/28/17
  • joel was also my assistant but everything was great - 03/07/17
  • Luis was great as well. - 01/04/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Love the Doctor and his staff. - 02/08/17
  • Great staff and speedy process! - 04/14/17
  • thank you, you all were very helpful - 03/03/17
  • Awesome staff.. - 09/26/16
  • The staff was great. David was very helpful with my surgery scheduling and questions. Luis was fabulous when I needed help with changing my dressing. Joel was nice helping me with the undoing of the dressing. Great group to be a patient of. - 12/13/16
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • very good at explaining how I should take care of my thumbs and always answered any question I had regarding my health issue I was very pleased with my visit and the care I got at both visits - 03/07/17
  • Amazing Doctor and staff. - 11/16/16
  • I am feeling so much better! My hands do not fall asleep and I do not drop things anymore. Yah! Thank you so much! - 09/16/16
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • Staff is always friendly and helpful. I will definitely recommend this office. Dr. Henry is a very skilled surgeon and went out of his way to make sure I understood my procedure and the rehabilitation process. - 03/24/17
  • The entire team at the Hand and Wrist Center is outstanding. They made the recovery so smooth and comforting from the courteous receptionists, excellent occupational therapist, attentive medical assistants, and brilliant doctor. Thank you! - 03/31/17
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16










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