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WRIST CONTRACTURE


WHAT YOU SHOULD KNOW

Traumatic contractures of the wrist 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. Wrist contractures are more difficult to treat than other contractures because the limiting tissue around the joint cannot simply be removed entirely as it can in certain other joints. Many ligaments that are critical for proper wrist function must be preserved. Wrist contractures almost always involve adhesions both within the joint and around the outside of the joint.

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

Each direction of motion will be specifically measured. The degree resistance at the end of each direction's stopping point is an important clue to predicting the chances of improvement with release.

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 the inside and outside of the wrist joint
FEATURES Stretching exercises and splints Outpatient surgery, fiber optic camera used inside joint, limited incisions to access outside of joint
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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  • ifeelgreat - 07/15/13
  • The entire staff was outstanding in assisting me before and during the appointment. I appreciate all they did helping me from out of town. - 07/19/13
  • From the first call everyone I have encountered has been amazing! Thanks - 06/05/13
  • Everyone was friendly and professional.I would return if needed. The girl at the front desk is an asset to your office. - 08/01/13
  • This is a great environment and I would definitely recommmed this place to others. I am very pleased of the outcome of the surgery! - 10/15/13
  • Rock on! - 05/07/13
  • You guys are awesome - 07/03/13
  • Thank you so much for taking my concerns and wishes into consideration and allowing me to try the removeable splint. Your staff were all wonderful, and I really appreciate their efforts, kindness and consideration. - 09/05/13
  • If there was a category over outstanding I would have checked that one! - 03/07/14
  • Most organized and efficient doctor visit of my life. Excellent. - 06/12/13
  • Discussed all of my options. Listened carefully to what I said and suggested different options that would help me to gain satisfaction. - 02/26/14
  • could not be better - 02/19/14
  • I AM SO GLAD I CHOSE THIS DR HE IS GREAT AND SO IS ALL STAFF MEMBERS - 04/18/14
  • Dr. Henry, as in the past, engendered my confidence and gave me peace of mind as a result of his exam and explanation. - 04/22/14
  • Outstanding Staff - 05/14/13
  • This is the best of the BEST! - 01/08/14
  • Under the circumtances, the staff was excellent, but Teresa was awesome throughout the unpacking and packing of the wound. Thank you Dr. Henry for saving my finger. Leanora - 05/03/13
  • Outstanding care throughout my surgery treatment and followup care - 04/14/14
  • Very happy w/my visits and the care shown to me. I was fit in b/c of cat bite and severe swelling in my primary hand on a week of holiday...THANK YOU! - 11/27/13
  • I was going to therapy here and Courtney was my therapist - she was Great! She was concerned and helpful. - 06/04/13
  • keep up the great work - 07/10/13
  • I'll like to thanks all the staff,they are very outstanding emlploee very kind ,nice,very patience with me to explaining every thing that is going on and thank you all so much - 05/29/13
  • Thank you!!! - 10/09/13
  • Most professional and helpful for a first fracture in my life at 60 years old. Loved all staff and therapy. Thanks - 02/25/14
  • I BELIEVE THAT I AM IN GREAT HANDS WITH DR. HENRY AND HIS STAFF AND I APPRECIATE THE CARE HE SHOWED TODAY DURING MY VISIT. THANK YOU - 10/08/13
  • I had an excellent experience. thank you and your staff. - 09/06/13
  • The Dr took my appointment last minute. I'm very appreciative of that. - 03/04/14
  • Thanks so very much to all of you ..Venanzia Grafton - 05/29/13
  • Dr. Henry is excellent! I would recommend him to any one! My experience was very comforting. - 07/18/13
  • Everyone in the office was professional kind and attentive. I would recommend friend/relative to this office. Thank you for your care. - 04/26/13
  • Wish I would have come to Dr. Henry years ago! Staff courteous and helpful. - 04/14/14
  • I look forward to healing. Thank You Doctor and Staff. - 02/20/14
  • Ya'll were awesome! I did't mind the waiting length because everyone was helpful, focused and very attentive when they arrived. I"d type more, but I"m mildly incapacitated. - 11/22/13
  • Thank you! - 09/06/13
  • Quick but well done! - 07/02/13
  • dr henry was extemely thorough luis was very helpful and exceptionally friendly with one hand only david was very friendly as well and very good at placing the splints. - 09/05/13
  • Awesome as always :) - 02/24/14
  • very outstanding visit and the personal all where outstanding. Doctor is very outstanding. thank you for getting me in at the short notice. thank you again - 02/27/14
  • Wonderful to find a Doctor who still strives to fulfill his Oath as a healer! Thank You - 07/02/13
  • I am very well satisfied with the outcome of this surgery. All involved here at the doctor's office and hospital were very friendly, professional and considerate. Thank You! - 06/21/13
  • mine was an excellent experience from appointment desk all the way through surgery and physical therapy. This is an extremely knowledgable and professional doctor and staff. - 10/29/13
  • Had I known this process would be as successful and pleasant as it was, I would have done it years ago. - 04/19/13
  • First experience with hand trauma and i was well taken care of and information regarding my issue was thouroughly explained! thank you. - 09/10/13
  • Thanks to the entire staff. Wonderful experience. - 11/22/13
  • really glad i chose to come here, every aspect of service was great - 04/01/14










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