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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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  • It feels nice to be in a big Dr. office and still have that small town feeling. Thank you very much!! - 05/28/15
  • I knew my son was in good care my sister worked with Dr. Henry before in surgery and recommended this practice stating you all are excellent! - 05/28/15
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  • Luis was great at check out as well. Nice to see a friendly face. - 02/04/16
  • Very good experience and immediate treatment. - 05/27/15
  • Great Job! - 06/03/15
  • First visit. Very impressed and very comfortable with wound management decisions. - 06/08/15
  • I truly appreciate Dr. Henry's thorough explanation of everything pertaining to my carpal tunnel in both hands. He is very attentive and is genuinely concerned about his patients. Thanks to him and his great staff. - 02/03/16
  • Awesome facility and staff! - 02/06/15
  • I am impressed and happy to see considerate individuals in the health profession. I would recommend this facility to anyone needing hand/wrist evaluation/medical assistance. - 02/06/15
  • ALSO OUTSTANDING WORK BY OTHER MEDICAL ASSISTANT LUIS, DAVID, GREAT WORK AND KEPT ME VERY CALM. THANKS TO THE WHOLE TEAM. - 09/30/15
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
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  • The staff was very professional and timely. I will recommend Hand and Wrist Clinic to family and friends. Thank you guys - 06/05/15
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • Absolutely pleased with the results of my carpel tunnel surgeries on both hands. From start to finish my experience was very positive. Dr. Henry is an outstanding hand surgeon. - 12/03/15
  • Have always had a good experience here. I have never had to wait more than 5 min in the waiting room nor more than 5 min in the exam room. Received surgery the same day as I was diagnosed. Best experience with a doctor's office ever! - 08/06/15
  • THE PROCEDURE WENT VERY VERY WELL AND MY HAND LOOKS AS THOUGH THE ACCIDENT NEVER HAPPENED. I AM VERY HAPPY AND WILL RECOMEND TO ANYONE DR. HENERY - 10/06/15
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
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  • The attention and the expertize is overwhelming. All I can say is, "I am playing the piano again" and I thank Dr. Henry and his staff for that. - 02/06/15
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  • Outstanding customer service! I would highly recommend this office to famly/friends. - 06/08/15
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  • I continue to be exceptionally pleased with the doctor and staff at this clinic. Thank you for your professionalism and friendliness. - 05/29/15
  • As depressing as this process was for me the staff and doctor were great. Thanks for your services! - 08/26/15
  • GREAT AND FAST TREATMENT FOR A PAINFULL EXPERIENCE - 02/01/16
  • He was excellent! - 10/30/15
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  • great customer service and health services - 09/23/15
  • COULD NOT BE HAPPIER WITH THE SERVICE PROVIDED. DR HENRY REALLY KNOWS HIS STUFF AND THE STAFF IS INCREDIBLY HELPFUL AND KIND. I WILL DEFINITELY BE RECCOMENDING DR HENRY TO ANYONE I KNOW THAT NEEDS HAND OR WRIST HELP - 02/02/16
  • very impressed with the time and care given to me by the doctor and Karen. They each made me feel like I was of their utmost importance! - 06/08/15
  • The entire staff has been more than amazing through this process, I will for sure refer you all. - 06/12/15










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