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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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  • 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
  • Great Job! - 06/03/15
  • Great facility and people - 05/28/15
  • 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
  • Had a great experience here with both Doctor and staff. Very friendly and professional. - 04/30/15
  • best doctors office - 03/06/15
  • ALSO OUTSTANDING WORK BY OTHER MEDICAL ASSISTANT LUIS, DAVID, GREAT WORK AND KEPT ME VERY CALM. THANKS TO THE WHOLE TEAM. - 09/30/15
  • 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
  • love the friendliness and efficiency of the office - 02/11/15
  • Outstanding. Keep up the excellent work. - 05/19/15
  • I continue to be exceptionally pleased with the doctor and staff at this clinic. Thank you for your professionalism and friendliness. - 05/29/15
  • Thank you for your care and treatment today. - 09/11/15
  • I feel taken care of - 05/27/15
  • Thank you! - 05/29/15
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • The entire staff has been more than amazing through this process, I will for sure refer you all. - 06/12/15
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
  • 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
  • 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
  • great customer service!! - 04/29/15
  • AWESOME - 10/22/15
  • Luis was great at check out as well. Nice to see a friendly face. - 02/04/16
  • Thank you for your care and treatment today. - 09/11/15
  • The staff was very professional and timely. I will recommend Hand and Wrist Clinic to family and friends. Thank you guys - 06/05/15
  • First visit. Very impressed and very comfortable with wound management decisions. - 06/08/15
  • It feels nice to be in a big Dr. office and still have that small town feeling. Thank you very much!! - 05/28/15
  • 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
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
  • 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
  • Very good experience and immediate treatment. - 05/27/15
  • Thank you for your professionalism - 05/20/15
  • Thank y'all so much. Looks like im healing well... - 05/21/15
  • Awesome facility and staff! - 02/06/15
  • 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
  • As depressing as this process was for me the staff and doctor were great. Thanks for your services! - 08/26/15
  • Thank you. - 06/11/15
  • Fantastic Doctor and Staff. I would highly recommend (and often do) refer others to this clinic. Thanks for everything!!! - 07/17/15
  • Outstanding customer service! I would highly recommend this office to famly/friends. - 06/08/15
  • good - 02/25/15
  • He was excellent! - 10/30/15
  • Great job all around. - 11/19/15
  • Thank You so much for all your help! - 02/10/16
  • I am pleased we came to Dr. Henry for my sons long finger fracture. - 06/05/15
  • Thanks - 02/20/15
  • Miracle Healer! - 09/23/15
  • GREAT AND FAST TREATMENT FOR A PAINFULL EXPERIENCE - 02/01/16
  • Great Doctor. - 05/29/15
  • great customer service and health services - 09/23/15
  • Great visit, I am very pleased. - 07/21/15
  • 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










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