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ELBOW CONTRACTURE


WHAT YOU SHOULD KNOW

The word contracture simply means that full movement of a joint is prevented by the soft tissues surrounding the joint. This differs from movement being prevented by the bones of the joint. The main soft tissue associated with a joint is the membrane that surrounds the joint and contains its fluid. This membrane is called the joint capsule.

MEDICAL HISTORY

An elbow contracture typically occurs following previous elbow trauma: fracture or ligament injury. The timing of the original injury relative to the loss of motion is very important to understanding why the motion was lost. All the details of the previous treatment including prior surgery and therapy efforts should be reviewed.

EXAMINATION

The most important part of the examination is trying to determine if the underlying joint is stable and properly shaped with healthy cartilage. A joint that does not have healthy cartilage or that is already unstable will not fare well during contracture treatment. The elbow joint is measured in its four directions of movement: flexion, extension, supination, and pronation. The joint is checked for stability of its two main ligament groups (medial and lateral). Adjacent nerve compression (particularly the ulnar nerve going to the ring and small fingers) must be sought out prior to treatment as it will only get worse if not included in the plan.

ADDITIONAL TESTS: The main additional test needed is simply a basic x-ray. Rarely should expensive imaging studies such as a CT scan or MRI be needed in the work-up. If there is any question regarding ulnar nerve compression, a nerve conduction test should be performed to measure the exact nerve conduction velocities.

TREATMENT OPTIONS

  NON-OPERATIVE CAPSULECTOMY
CONSISTS OF Outpatient and home motion exercises and splinting Surgically removing the scarred capsule tissue that limits elbow motion
FEATURES Static progressive splint adjusts to push motion to the limits Must preserve the medial and lateral collateral ligaments; transpose the ulnar nerve if compressed
ADVANTAGES Avoids surgery Most powerful treatment to restore motion
DISADVANTAGES Only effective while post-traumatic scar tissue is still maturing (less than 4 months after the original trauma) Very painful and requires intense therapy commitment on the patient’s part

RECOVERY

The capsulectomy surgery removes all the previous motio


  • great - 10/06/16
  • Amazing people. Luis, Joel and Teresa, and Dr. Henry... I appreciate all of you. Your staff is outstanding. - 09/14/16
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • All the staff and Doctor Henry were great! - 05/01/17
  • 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
  • Excellent treatment by the physician and friendly service by the staff. Will definitely recommend to friends and family. - 09/12/16
  • Great Appoitnment - 05/11/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Great detailed information. - 11/03/16
  • 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
  • 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
  • great job! - 03/20/17
  • Mark is great and so is Luis (I would give Luis a raise!!) - 09/27/16
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • 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
  • Always a pleasure working with Dr. Henry and his awesome staff! - 10/07/16
  • :) - 05/11/17
  • I enjoyed my visit - 11/14/16
  • Very professional - 03/30/17
  • Staff exceptional and Dr. Henry is as well. - 11/15/16
  • Everyone is always nice - 12/14/16
  • 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
  • Everyone here has been awesome. We appreciate everything you all have done. thank you! - 12/05/16
  • very impressed with the whole experience. - 02/28/17
  • Awesome as always! - 10/11/16
  • David, Teresa, Luis, Joel, and Karen have all worked with me. They were all outstanding and I highly recommend them all. - 11/30/16
  • joel was also my assistant but everything was great - 03/07/17
  • 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
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • ;) - 09/08/16
  • Awesome staff.. - 09/26/16
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Excellent care and service! I would highly recommend Dr Henry and his staff! - 09/14/16
  • 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
  • thank you, you all were very helpful - 03/03/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • I was very pleased with the entire process from first visit to last visit - 09/08/16
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • Amazing Doctor and staff. - 11/16/16
  • Great friendly staff - 10/28/16
  • Thank you so much for all your support and help! I have benefited a lot from this facility! - 10/13/16
  • 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
  • Great Appoitnment - 05/11/17
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • 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
  • only wish I would have come here before having surgery done elsewhere. - 11/30/16
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • 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
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Awesome experience. Luis rocks! - 04/06/17
  • 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
  • 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
  • Amazing services and results. Unique experience - 10/31/16
  • Very pleased with everyone and the procedures I have had done with Dr. Henry and his staff. - 12/28/16
  • 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
  • Great staff and speedy process! - 04/14/17
  • Great work. - 02/03/17
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • thank you - 02/09/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • always outstanding service! - 04/12/17
  • Wonderful work no issues - 11/17/16
  • Luis was great as well. - 01/04/17
  • 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
  • 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
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • Thank you! - 03/08/17
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Love the Doctor and his staff. - 02/08/17
  • Very pleased with the staff and Dr Henry during my treatment. - 12/15/16
  • 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
  • thank you for helping me - 02/03/17
  • 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
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • 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
  • 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
  • Thank you for the help. - 11/10/16
  • Luis and all the staff have been great each time I've come in. - 09/22/16
  • Great staff. - 05/02/17
  • 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
  • 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
  • very helpful staff - 01/16/17
  • Great center with friendly staff and very competent physician. I would definitely recommend to others. - 10/20/16










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