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HAND CONTRACTURE


WHAT YOU SHOULD KNOW

Traumatic contractures of the small joints in the hand can develop after either injury or surgery. Once the limiting scar tissue is mature (usually after 3 months from the last event) no amount of therapy will be able increase motion. All contractures must be considered to potentially involve the joints as well as the flexor and extensor tendons.

MEDICAL HISTORY

Patients typically complain of pain, stiffness, weakness, and loss of hand function. The doctor will ask questions to uncover all the events that led up to or contributed to the development of the contracture. Knowing how the contracture formed is the key in planning to eliminate the contracture.

EXAMINATION

Specific measurements will be made of both the passive (someone else moves the joint by pushing on it) and active (joint is moved by its own tendons) motion of each involved joint. Tests will be done to evaluate the function of the relevant tendons.

ADDITIONAL TESTS: Plain x-rays will show any underlying joint damage that might make achieving good motion more difficult.

TREATMENT OPTIONS

  NON-OPERATIVE SURGICAL RELEASE
CONSISTS OF Outpatient therapy Surgically excising scar tissue from around joints and tendons
FEATURES Stretching exercises and splints Outpatient surgery, patient actively participates in evaluation at time of surgery
ADVANTAGES Avoids surgery Maximum correction possible, used when previous scar is mature
DISADVANTAGES Only effective early when scar tissue is immature Correction proportionate to original problem, some new scar tissue forms after surgery

RECOVERY

Patients must be very committed to their treatment to choose surgical correction of a contracture. Intense outpatient rehabilitation begins immediately after surgery. Patients must perform motion exercises every hour on the hour when awake, seven days a week. Sutures are taken out after 2 weeks in the office. Splints are used at night and sometimes during the day to preserve increases in motion. New scar tissue gradually forms and matures over about a 3-month period after surgery. When therapy is finished after the scar matures patients will have some percentage of motion that is still less than the freedom achieved on the day of surgery.
 
 
 
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  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
  • thank you - 10/16/17
  • the whole group was very good, I had an excellent experience. - 11/09/17
  • Thank you for repairing my injury and being kind in the process. - 01/10/18
  • 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
  • Very efficient practice - 10/19/17
  • Awesome staff. - 09/25/18
  • 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
  • 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
  • love the circus de sole dvd. everything was amazing. rehab was the best too. - 02/23/18
  • outstanding knowledge and gets you into the hospital if needed the same. - 02/09/18
  • no complaints hand is coming along very well - 11/06/17
  • 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
  • everyone was very helpful. - 10/02/18
  • Thank you for sewing me back together and guiding me through my recovery!!! - 05/15/18
  • I appreciate the expertise and experience of Dr. Henry!!! I know I had the BEST hand surgeon!!! - 05/02/18
  • Great doctor and good staff - 10/10/18
  • 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
  • every thing was really great - 10/19/17
  • excellent! dr & staff! - 06/14/17
  • 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
  • Very happy I came here for the surgery, etc. - 06/09/17
  • 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
  • The visit was good - 09/27/18
  • dr henry does an excellent job of explaining the problem and solution, seems extremely competent - 02/07/18
  • 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
  • very confortable,Dr. Henrry very professional and very friendly staff - 12/05/17
  • every body was excelent - 01/09/18
  • Very nice staff and surgeon. Thumb looks good now after surgery, hopefully thumb continues to heal and stays healed. Thank you - 01/30/18
  • 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
  • Great service and attention to patient needs. Staff was very attentive. - 09/17/18
  • 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
  • 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
  • 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
  • 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 Doctor and staff. Luis is a wonderful asset to the staff - 12/18/17
  • The staffs here was GREAT!!!! - 06/21/17
  • :) - 06/01/17
  • Great job your staff is the best,thank you &GOD Bless all of you! - 06/15/18
  • 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
  • Dr.henry knew his stuff. he was friendly but straight to the point. - 09/11/18
  • 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
  • Awesome facility. Fast results. Thoroughly explained causes of pain, diagnosis and treatment. Staff wonderful. Facility is amazing - 10/10/18
  • Visit was pleasant and went smoothly. No complaints. Outstanding service. - 09/14/18
  • all excellent care - 07/12/17
  • Fantastic. Very helpful and considerate staff and manner. Very much appreciated. Fully recommend in for the future. Thanks, Andrew - 09/19/18
  • Outstanding service and results - 10/30/17
  • very good team work, best clinic - 06/21/17
  • you were very good, thank you very much - 05/17/18
  • David, Luis and the staff were so helpful and answered all my questions. Highly recommend the facility for any hand surgeries. - 09/27/18
  • an experience beyond expectation - 10/06/17
  • great doctor - 05/23/18
  • Dr. Henry is a tremendous doctor! - 05/22/18
  • Dr. Henry was very informative about the treatment and staff was pleasant. - 01/11/18
  • very helpful. staff was very helpful and outstanding. Dr. Henry explained everything to me - 06/19/18










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