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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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  • the office was grate! - 05/08/14
  • I've been treated great by the staf. I think you'll are angels from heaven. - 12/18/14
  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • 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
  • they exolain everything and are very helpful thnks alot. - 11/14/14
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • Outstanding care throughout my surgery treatment and followup care - 04/14/14
  • good - 02/25/15
  • 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
  • I feel the doctor gave honest and very professional assessment. - 07/23/14
  • Most professional and helpful for a first fracture in my life at 60 years old. Loved all staff and therapy. Thanks - 02/25/14
  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
  • I loved the service that I received at this facility. - 06/03/14
  • Thank you for your professionalism - 05/20/15
  • Great Doc - 08/11/14
  • Very outstanding - 06/25/14
  • Overall, my association with the office was a very good experience. - 04/29/14
  • 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
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • Great staff! - 07/23/14
  • I took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • I look forward to healing. Thank You Doctor and Staff. - 02/20/14
  • Dr. Henry, as in the past, engendered my confidence and gave me peace of mind as a result of his exam and explanation. - 04/22/14
  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • love the friendliness and efficiency of the office - 02/11/15
  • Awesome facility and staff! - 02/06/15
  • 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
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • I enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14
  • thanks for getting her in so quickly - 05/21/14
  • very professional staff and services - 05/19/14
  • 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
  • Very pleased with doctor & staff. - 10/14/14
  • good job! - 05/28/14
  • Wish I would have come to Dr. Henry years ago! Staff courteous and helpful. - 04/14/14
  • great service thanks soooooooo much - 09/30/14
  • outstanding. - 07/09/14
  • WE were highly satisfied with the service we received and the friendliness of the entire staff! Thank you!! - 05/09/14
  • I feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
  • This has been a life changing experience! Thank You Dr. Henry. - 08/27/14
  • best doctors office - 03/06/15
  • everyone is very professional - 05/23/14
  • Very good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • 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 prfessional, put my needs and health above everything else! - 08/12/14
  • Teresa was very professional. - 07/15/14
  • 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
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • Great care! Would highly recommend - 09/19/14
  • 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 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
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • 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
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
  • 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
  • Great Job - 06/09/14
  • Felt informed and heard. - 06/06/14
  • great customer service!! - 04/29/15
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • 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
  • Outstanding healthcare staff !!! - 05/19/14
  • If there was a category over outstanding I would have checked that one! - 03/07/14
  • My first visit was wonderful, and every staff member that I encountered was extremely helpful. - 05/16/14
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
  • Thank y'all so much. Looks like im healing well... - 05/21/15
  • outstanding experience. - 06/03/14
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • Great job! - 07/11/14
  • I AM SO GLAD I CHOSE THIS DR HE IS GREAT AND SO IS ALL STAFF MEMBERS - 04/18/14
  • This is the best of the BEST! - 01/08/14
  • I've come here for two separate injuries & have been treated with kindness & respect both times. - 05/08/14
  • very pleasant experience thanks for your help. - 12/16/14
  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14
  • All of the medical assistants have been extremely outstanding during my care. - 05/20/14
  • David and Luis were also very professional and helpful - 07/11/14
  • great place was in and out. - 07/11/14
  • love the place and doc!!! - 07/10/14
  • Awesome as always :) - 02/24/14
  • I would recommend Dr. Henry and his staff. - 09/22/14
  • 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
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14
  • Thanks for saving my wrist! I'm Forever greatful. - 05/23/14
  • This was the most professional, responsive and ethical evaluation I have received during my 63 years of receiving physician evaluations. - 05/28/14
  • awesome service and treatment. facility was very nice too - 06/24/14
  • efficient not hurried helpful - 05/19/14
  • I cannot say enouhg good things about this place. Thank you all so much!!! - 06/06/14
  • could not be better - 02/19/14
  • Outstanding experience!!! - 09/19/14
  • Overall this is a top 10% medical experience (perhaps top 1%) - 05/27/14
  • Thanks for spending the time to answer many complex questions. - 05/19/14
  • everyone VERY Professional! - 08/21/14
  • I feel taken care of - 05/27/15
  • Awesome as always. - 05/27/14
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • great job to all keep it up,wish more offices were like you all... - 12/01/14
  • Karen was Outstanding!! - 11/24/14
  • 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
  • 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
  • thanks for all the kindness and help - 05/15/14
  • 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 enjoy the decore and the attention and the young lady that sits in the front is very proffesional !!!! - 05/15/14
  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
  • The Dr took my appointment last minute. I'm very appreciative of that. - 03/04/14
  • Had a great experience here with both Doctor and staff. Very friendly and professional. - 04/30/15
  • Very impressed with this entire operation and how smoothly everything ran. - 06/18/14
  • Thanks - 02/20/15
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • really glad i chose to come here, every aspect of service was great - 04/01/14
  • felt confident on the treatment and the outcome of the results - 07/16/14
  • Outstanding. Keep up the excellent work. - 05/19/15










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