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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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  • Had a great experience here with both Doctor and staff. Very friendly and professional. - 04/30/15
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • Thank you for your professionalism - 05/20/15
  • The care and treatment was exceptional. Staff was always friendly, and helpful. Could not have asked for a more satisfactory medical experience! - 10/31/14
  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • The entire staff has been more than amazing through this process, I will for sure refer you all. - 06/12/15
  • Great Doctor. - 05/29/15
  • Great staff! - 07/23/14
  • It feels nice to be in a big Dr. office and still have that small town feeling. Thank you very much!! - 05/28/15
  • outstanding experience. - 06/03/14
  • great place was in and out. - 07/11/14
  • outstanding. - 07/09/14
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • I loved the service that I received at this facility. - 06/03/14
  • Felt informed and heard. - 06/06/14
  • Great visit, I am very pleased. - 07/21/15
  • Thank you. - 06/11/15
  • 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
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • 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
  • great job to all keep it up,wish more offices were like you all... - 12/01/14
  • David and Luis were also very professional and helpful - 07/11/14
  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
  • Great facility and people - 05/28/15
  • I cannot say enouhg good things about this place. Thank you all so much!!! - 06/06/14
  • This has been a life changing experience! Thank You Dr. Henry. - 08/27/14
  • I took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • Outstanding experience!!! - 09/19/14
  • I feel the doctor gave honest and very professional assessment. - 07/23/14
  • Outstanding customer service! I would highly recommend this office to famly/friends. - 06/08/15
  • 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
  • Thanks - 02/20/15
  • love the friendliness and efficiency of the office - 02/11/15
  • Thank y'all so much. Looks like im healing well... - 05/21/15
  • This was a rare experience - service that was exceedingly competent, and exceedeingly considerate. A combination of the two = grateful patient. Thank you! - 08/15/14
  • I've been treated great by the staf. I think you'll are angels from heaven. - 12/18/14
  • Very outstanding - 06/25/14
  • Karen was Outstanding!! - 11/24/14
  • Great Doc - 08/11/14
  • love the place and doc!!! - 07/10/14
  • Thank you! - 05/29/15
  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14
  • Very good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • Awesome facility and staff! - 02/06/15
  • everyone VERY Professional! - 08/21/14
  • best doctors office - 03/06/15
  • very prfessional, put my needs and health above everything else! - 08/12/14
  • awesome service and treatment. facility was very nice too - 06/24/14
  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
  • Outstanding. Keep up the excellent work. - 05/19/15
  • Great Job! - 06/03/15
  • Great care! Would highly recommend - 09/19/14
  • Teresa was very professional. - 07/15/14
  • Dr. Henry has been has done an excellent job getting my finger back in shape. The staff has been very helpful and attentive to my needs during this recovery. - 07/16/14
  • I would recommend Dr. Henry and his staff. - 09/22/14
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • Very good experience and immediate treatment. - 05/27/15
  • I am pleased we came to Dr. Henry for my sons long finger fracture. - 06/05/15
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • I feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
  • felt confident on the treatment and the outcome of the results - 07/16/14
  • The facifility was able to get me in right away for what seemed liked a minor issue that ultimately required surgery that was done the same day (no waiting). - 09/22/14
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • good - 02/25/15
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • great service thanks soooooooo much - 09/30/14
  • I feel taken care of - 05/27/15
  • they exolain everything and are very helpful thnks alot. - 11/14/14
  • very pleasant experience thanks for your help. - 12/16/14
  • Great job! - 07/11/14
  • 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
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • Luis, Joel, Teresa and all the staff were very professional and helped me when needed. They are all an asset to your staff. - 08/14/14
  • great customer service!! - 04/29/15
  • I continue to be exceptionally pleased with the doctor and staff at this clinic. Thank you for your professionalism and friendliness. - 05/29/15
  • 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
  • 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
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • Very pleased with doctor & staff. - 10/14/14
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • The staff was very professional and timely. I will recommend Hand and Wrist Clinic to family and friends. Thank you guys - 06/05/15
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • First visit. Very impressed and very comfortable with wound management decisions. - 06/08/15
  • Fantastic Doctor and Staff. I would highly recommend (and often do) refer others to this clinic. Thanks for everything!!! - 07/17/15
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • Great Job - 06/09/14
  • Both of my experiences here with Dr. Henry and his staff have been awesome. I appreciate him giving me my life back. Thank you Dr. Henry - 11/03/14
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14










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