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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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  • This was the most professional, responsive and ethical evaluation I have received during my 63 years of receiving physician evaluations. - 05/28/14
  • As long as he is here i will come to him and even if he move i will follow him and everyone in the office was nice - 05/19/14
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • WE were highly satisfied with the service we received and the friendliness of the entire staff! Thank you!! - 05/09/14
  • I AM SO GLAD I CHOSE THIS DR HE IS GREAT AND SO IS ALL STAFF MEMBERS - 04/18/14
  • Great job! - 07/11/14
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
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  • David and Luis were also very professional and helpful - 07/11/14
  • Awesome as always. - 05/27/14
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  • Great Job. I have full confidence in Dr. Henry'a ability to diagnose and take care adequately of the problems on my left hand. - 06/26/14
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  • Felt informed and heard. - 06/06/14
  • Wish I would have come to Dr. Henry years ago! Staff courteous and helpful. - 04/14/14
  • Great difference from my first doctor. Everything was better. My pain has subsided and I am well aware of the possibility of my recovery being okay. - 07/16/14
  • Most professional and helpful for a first fracture in my life at 60 years old. Loved all staff and therapy. Thanks - 02/25/14
  • Thanks for saving my wrist! I'm Forever greatful. - 05/23/14
  • Dr. Henry is an incredible surgeon and would recommend to anyone. His staff (David in particular) was very helpful and made sure I got what I needed. - 05/23/14
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  • Overall this is a top 10% medical experience (perhaps top 1%) - 05/27/14
  • My first visit was wonderful, and every staff member that I encountered was extremely helpful. - 05/16/14
  • Outstanding care throughout my surgery treatment and followup care - 04/14/14
  • Love the Dr and the staff and I do refer everyone that has any complaint about their hands to come see Dr Henry because he is the best in Texas. I even had my mother come here after another "Dr." screwed up her hand. - 07/23/14
  • could not be better - 02/19/14
  • Teresa was very professional. - 07/15/14
  • I enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14
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  • 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
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  • Thanks for spending the time to answer many complex questions. - 05/19/14
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  • Outstanding healthcare staff !!! - 05/19/14
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  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
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  • 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
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  • The Dr took my appointment last minute. I'm very appreciative of that. - 03/04/14
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • very professional staff and services - 05/19/14
  • good job! - 05/28/14
  • felt confident on the treatment and the outcome of the results - 07/16/14
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
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  • Dr. Henry explained the options in much more detail than the initial orthopedic hand specialist. His questioning, examination, and explantion of my condition was very thorough. - 05/30/14
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14
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  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • outstanding. - 07/09/14
  • I enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • I look forward to healing. Thank You Doctor and Staff. - 02/20/14
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  • I feel the doctor gave honest and very professional assessment. - 07/23/14
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  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • All of the medical assistants have been extremely outstanding during my care. - 05/20/14
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
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  • Overall, my association with the office was a very good experience. - 04/29/14
  • Great staff! - 07/23/14
  • the office was grate! - 05/08/14
  • I've come here for two separate injuries & have been treated with kindness & respect both times. - 05/08/14










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