Hand & Wrist Center of Houston Home If you suspect broken bones, dislocated joints, lacerated tendons, lacerated nerves, infection, or have an open wound below the elbow, then call us immediately.
 
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.
 
 
 
Back to Medical Conditions
 
 


  • Great Job! - 06/03/15
  • The staff was very professional and timely. I will recommend Hand and Wrist Clinic to family and friends. Thank you guys - 06/05/15
  • best doctors office - 03/06/15
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • Great care! Would highly recommend - 09/19/14
  • 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
  • Thank you! - 05/29/15
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • great service thanks soooooooo much - 09/30/14
  • I feel the doctor gave honest and very professional assessment. - 07/23/14
  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • I am pleased we came to Dr. Henry for my sons long finger fracture. - 06/05/15
  • Great facility and people - 05/28/15
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • 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
  • 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
  • outstanding experience. - 06/03/14
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14
  • Great Job - 06/09/14
  • 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
  • The entire staff has been more than amazing through this process, I will for sure refer you all. - 06/12/15
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
  • Very good experience and immediate treatment. - 05/27/15
  • Thank y'all so much. Looks like im healing well... - 05/21/15
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • 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 feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
  • 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
  • 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
  • Very pleased with doctor & staff. - 10/14/14
  • Outstanding experience!!! - 09/19/14
  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • I continue to be exceptionally pleased with the doctor and staff at this clinic. Thank you for your professionalism and friendliness. - 05/29/15
  • outstanding. - 07/09/14
  • very prfessional, put my needs and health above everything else! - 08/12/14
  • very pleasant experience thanks for your help. - 12/16/14
  • great place was in and out. - 07/11/14
  • Felt informed and heard. - 06/06/14
  • Thank you for your professionalism - 05/20/15
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • love the friendliness and efficiency of the office - 02/11/15
  • they exolain everything and are very helpful thnks alot. - 11/14/14
  • love the place and doc!!! - 07/10/14
  • 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
  • everyone VERY Professional! - 08/21/14
  • good - 02/25/15
  • 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
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
  • I would recommend Dr. Henry and his staff. - 09/22/14
  • 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
  • I loved the service that I received at this facility. - 06/03/14
  • Karen was Outstanding!! - 11/24/14
  • Awesome facility and staff! - 02/06/15
  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • Outstanding customer service! I would highly recommend this office to famly/friends. - 06/08/15
  • I took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • Very good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • Great staff! - 07/23/14
  • Very outstanding - 06/25/14
  • Had a great experience here with both Doctor and staff. Very friendly and professional. - 04/30/15
  • Great Doctor. - 05/29/15
  • Thank you. - 06/11/15
  • I've been treated great by the staf. I think you'll are angels from heaven. - 12/18/14
  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
  • 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
  • This has been a life changing experience! Thank You Dr. Henry. - 08/27/14
  • Thanks - 02/20/15
  • awesome service and treatment. facility was very nice too - 06/24/14
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • David and Luis were also very professional and helpful - 07/11/14
  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14
  • great customer service!! - 04/29/15
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • felt confident on the treatment and the outcome of the results - 07/16/14
  • I cannot say enouhg good things about this place. Thank you all so much!!! - 06/06/14
  • 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
  • Teresa was very professional. - 07/15/14
  • Outstanding. Keep up the excellent work. - 05/19/15
  • It feels nice to be in a big Dr. office and still have that small town feeling. Thank you very much!! - 05/28/15
  • Great Doc - 08/11/14
  • First visit. Very impressed and very comfortable with wound management decisions. - 06/08/15
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • I feel taken care of - 05/27/15
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • Great job! - 07/11/14
  • 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
  • great job to all keep it up,wish more offices were like you all... - 12/01/14










Site maintained by Dan Cutts© Copyright 2015 Hand and Wrist Center of Houston