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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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  • great job! - 03/20/17
  • Dr. Henry gave me my wrist back!!! Thank you Dr. Henry!!! - 07/10/17
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  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • 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
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  • Dr. Henry and Mary in PT helped me get my dominant arm back in working order. - 04/18/17
  • 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
  • Very efficient practice - 10/19/17
  • 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
  • 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
  • Thank you! - 03/08/17
  • great service nice folks glad I came to this office doctor was very cool - 03/23/17
  • 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
  • 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
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  • Very happy I came here for the surgery, etc. - 06/09/17
  • Very professional - 03/30/17
  • I gained full confidence in Dr. Henry and his staff as I progressed through my recovery. - 03/28/17
  • 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
  • Dr Henry is a wonderful Dr. and I would highly recommend to others - 02/07/17
  • This was my last visit and I'll miss y'all. - 03/29/17
  • Great staff and speedy process! - 04/14/17
  • 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
  • All the staff and Doctor Henry were great! - 05/01/17
  • everything HAS BEEN GREAT AND HEALING WELL WITH ALMOST FULL MOTION IN LESS THAN 5 WEEKS. tHANKS dr hENRY - 03/03/17
  • 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
  • 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
  • I have loved coming here and felt very welcomed by everyone! Thank you so much for all you do! - 03/10/17
  • very impressed with the whole experience. - 02/28/17
  • Fabulous I will be recommending to everyone I know that can benefit from the services provided. - 03/14/17
  • Great work. - 02/03/17
  • Awesome experience. Luis rocks! - 04/06/17
  • The staffs here was GREAT!!!! - 06/21/17
  • very helpful staff - 01/16/17
  • I feel very confident in Dr Henry and the direction I am headed. - 03/10/17
  • Luis was great as well. - 01/04/17
  • Great Appoitnment - 05/11/17
  • Everyone was kind and efficient. All things were clearly explained to me and I felt confident in doing my dressings. - 03/03/17
  • an experience beyond expectation - 10/06/17
  • thank you - 10/16/17
  • 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
  • thank you, you all were very helpful - 03/03/17
  • FIRST CLASS!!!!!!!!!! - 03/03/17
  • Staff was very courteous and helpful. Dr. was very informative and easy to understand. - 03/27/17
  • Love the Doctor and his staff. - 02/08/17
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  • Great staff. - 05/02/17
  • 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
  • excellent! dr & staff! - 06/14/17
  • Really appreciate the education and insight related to my wrist and future athletic training - 05/31/17
  • 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
  • Dr. Henry did an excellent job on my grandmothers wrist. Staff is always very friendly and helpful. - 03/02/17
  • every thing was really great - 10/19/17
  • Doctor Henry was awesome! And Luis was very helpful and nice! - 03/20/17
  • 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
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