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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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  • 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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  • 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
  • The entire staff has been more than amazing through this process, I will for sure refer you all. - 06/12/15
  • ALSO OUTSTANDING WORK BY OTHER MEDICAL ASSISTANT LUIS, DAVID, GREAT WORK AND KEPT ME VERY CALM. THANKS TO THE WHOLE TEAM. - 09/30/15
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  • 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 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
  • 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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  • 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
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  • I am pleased we came to Dr. Henry for my sons long finger fracture. - 06/05/15
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