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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


  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • Great Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • :) - 06/01/17
  • 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
  • Great staff. - 05/02/17
  • Outstanding service and results - 10/30/17
  • joel was also my assistant but everything was great - 03/07/17
  • always outstanding service! - 04/12/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • 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
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • all excellent care - 07/12/17
  • thank you, you all were very helpful - 03/03/17
  • 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
  • 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
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • The staffs here was GREAT!!!! - 06/21/17
  • no complaints hand is coming along very well - 11/06/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • This was my last visit and I'll miss y'all. - 03/29/17
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • 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
  • 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 helping me - 02/03/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • Awesome experience. Luis rocks! - 04/06/17
  • Great staff and speedy process! - 04/14/17
  • 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
  • every thing was really great - 10/19/17
  • great job! - 03/20/17
  • very good team work, best clinic - 06/21/17
  • 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
  • Very happy I came here for the surgery, etc. - 06/09/17
  • 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
  • an experience beyond expectation - 10/06/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • every body was excelent - 01/09/18
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • Very professional - 03/30/17
  • 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
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • Great Appoitnment - 05/11/17
  • very impressed with the whole experience. - 02/28/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • Very efficient practice - 10/19/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • 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
  • :) - 05/11/17
  • 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
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • 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
  • 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
  • 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
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Thank you! - 03/08/17
  • 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
  • Great work. - 02/03/17
  • The doctor and staff are the best I have ever had. Very professionalism at its best. - 11/15/17
  • 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
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • thank you - 10/16/17
  • 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
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • 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
  • Love the Doctor and his staff. - 02/08/17
  • 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
  • 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
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • 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
  • 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
  • excellent! dr & staff! - 06/14/17
  • All the staff and Doctor Henry were great! - 05/01/17










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