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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  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • David, Luis and the staff were so helpful and answered all my questions. Highly recommend the facility for any hand surgeries. - 09/27/18
  • Dr.henry knew his stuff. he was friendly but straight to the point. - 09/11/18
  • thank you - 10/16/17
  • Dr. Henry was able to salvage my hand to make it usable again. I have already sent my Father here and he no longer has any pain in his wrist. - 11/13/17
  • Great doctor and good staff - 10/10/18
  • Visit was pleasant and went smoothly. No complaints. Outstanding service. - 09/14/18
  • every thing was really great - 10/19/17
  • Dr. Henry and his staff are amazing! I was able to get an urgent new patient appointment immediately with surgery that same afternoon. Dr. Henry does an excellent and thorough job explaining my injury and the healing process. Very impressed with his plan of early mobility and physical therapy, which helped restore my function back to normal within 8 weeks of surgery. I would 100% recommend Dr. Henry and his staff! Very pleased and grateful for his help. - 03/23/18
  • Outstanding service and results - 10/30/17
  • MD was very thorough and spent a good amount of time with the patient (me). MD had good bedside manners which you do not see from a lot of doctors nowadays. He also made sure everything was understood and that I was given a chance to ask questions or address any concerns I had. Everyone was courteous and professional. Thank you for making mu visit a pleasant one. - 05/02/18
  • The staff is nice and everyone is up on the treatment. I feel confident that I am getting the best care and am glad I came here. - 10/30/17
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • 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
  • Very efficient practice - 10/19/17
  • Dr. Mark Henry is a true healer; the finest most competent doctor I've ever encountered. I am forever grateful to Dr. Henry and the entire staff for saving my finger and facilitating my complete recovery with grace and seriousness of intent. Thank you. - 01/10/18
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • Great experience on every visit. Doctor Henry's work is fantastic and his explanations are thorough. I recommend him highly whenever the opportunity presents. - 09/26/18
  • Very happy I came here for the surgery, etc. - 06/09/17
  • The visit was good - 09/27/18
  • With the severity of my injury I am amazed at how functional my wrist is with the amazing team work shown at the office. From the very start the service and care have been outstanding!! I can't thank everyone enough! - 02/23/18
  • excellent! dr & staff! - 06/14/17
  • Fantastic. Very helpful and considerate staff and manner. Very much appreciated. Fully recommend in for the future. Thanks, Andrew - 09/19/18
  • The staffs here was GREAT!!!! - 06/21/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • Dr. Henry and his staff are phenomenal. Dr. Henry has a gift for not only treating health issues extremely effectively, but he is extremely thorough and very efficient at communication and explaining everything he is doing and all of clearly outlining your options for future procedures. - 05/11/18
  • no complaints hand is coming along very well - 11/06/17
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • Great service and attention to patient needs. Staff was very attentive. - 09/17/18
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • you were very good, thank you very much - 05/17/18
  • :) - 06/01/17
  • I couldn't be more pleased with the level of service I received while in Dr. Henry's care. The level of detail in which my injury was explained and resolved, and the level of competency that was displayed throughout the healing was truly outstanding. - 01/30/18
  • I appreciated everyone being friendly and professional and quick and competent at what they do. Dr Henry is straightforward and clear with no extra b/s and I was quite pleased with that. - 09/20/18
  • all excellent care - 07/12/17
  • great doctor - 05/23/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • best place for treatment of hand and wrist problems. Dr. Henry was recommended to me by a friend who is a medical care professional. - 10/06/17
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • everyone was very helpful. - 10/02/18
  • Awesome facility. Fast results. Thoroughly explained causes of pain, diagnosis and treatment. Staff wonderful. Facility is amazing - 10/10/18
  • an experience beyond expectation - 10/06/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • very good team work, best clinic - 06/21/17
  • every body was excelent - 01/09/18
  • Awesome staff. - 09/25/18
  • I was so impressed that Dr. Henry took so much time with me, explaining the whole process of my injury, what should have happened, and what we can do going forward. Thank you! - 09/28/18
  • I am really happy with my experience. I always knew what was going on and over time got to know the staff based on how many times I've been here. Most importantly, I feel I got the right treatment for my injury. - 10/19/17
  • The staff and the Dr. are very helpful and understanding .I have not yet seen a better staff like this office . I will recommend any one here . - 11/06/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • the whole group was very good, I had an excellent experience. - 11/09/17










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