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










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