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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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  • felt confident on the treatment and the outcome of the results - 07/16/14
  • great customer service!! - 04/29/15
  • It feels nice to be in a big Dr. office and still have that small town feeling. Thank you very much!! - 05/28/15
  • Thanks - 02/20/15
  • great place was in and out. - 07/11/14
  • Great Job! - 06/03/15
  • Great Doc - 08/11/14
  • I don't like the diagnosis but that's not Dr. Henry's fault. - 06/06/14
  • 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
  • outstanding experience. - 06/03/14
  • Fantastic Doctor and Staff. I would highly recommend (and often do) refer others to this clinic. Thanks for everything!!! - 07/17/15
  • they exolain everything and are very helpful thnks alot. - 11/14/14
  • Had a great experience here with both Doctor and staff. Very friendly and professional. - 04/30/15
  • Outstanding customer service! I would highly recommend this office to famly/friends. - 06/08/15
  • 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
  • awesome service and treatment. facility was very nice too - 06/24/14
  • the servcie provided was great. some wait time improvements. overall a good experinece. Thank you - 07/11/14
  • I would recommend Dr. Henry and his staff. - 09/22/14
  • So glad to have my hand problem diagnosed and solved. Thank you so much. Great outcome. - 02/06/15
  • 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
  • Thank you for your professionalism - 05/20/15
  • 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
  • Very good staff and and excellent Dr. I would recommend this office to friends and family. - 06/06/14
  • Dr. Henry provided good clear explanations of my condition and answered all of my questions. - 08/01/14
  • I feel the doctor gave honest and very professional assessment. - 07/23/14
  • 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
  • best doctors office - 03/06/15
  • Spot on diagnosis. 90 days later back to doing everything as promised. - 08/20/14
  • Thanks to the staff and Dr. Henry for being so helpful and attentive through the healing process. - 06/13/14
  • great job to all keep it up,wish more offices were like you all... - 12/01/14
  • 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 took some of your cards for my colleagues as well. very pleased. - 07/16/14
  • good - 02/25/15
  • THE DOCTOR EXPLAINED AND MADE SURE YOU HAD AN UNDERSTANDING OF WHAT WAS HAPPENING. - 10/02/14
  • DR Henry and staff have done a great job to get me back on track.Thank you. - 07/16/14
  • A pleasant experience considering the reason for the visit. Couldnt be better - 11/12/14
  • Great job! - 07/11/14
  • love the place and doc!!! - 07/10/14
  • Always looking forward to visits, medical assistants and doctor care a lot about their patients! - 07/25/14
  • He was so thouough and knowledgeable and detailed!! Looking forward to getting this taken care of. Thanks. - 07/18/14
  • 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
  • I continue to be exceptionally pleased with the doctor and staff at this clinic. Thank you for your professionalism and friendliness. - 05/29/15
  • love the friendliness and efficiency of the office - 02/11/15
  • Great staff, good attitudes. everyone was helpful - 09/29/14
  • The staff is wonderful and Dr. Henry is amazing. - 03/31/15
  • All medical staff prior to todays visit have been exceptional. Very friendly and helpful in all areas. - 07/10/14
  • Great facility and people - 05/28/15
  • Thank y'all so much. Looks like im healing well... - 05/21/15
  • Very outstanding - 06/25/14
  • I feel taken care of - 05/27/15
  • David and Luis were also very professional and helpful - 07/11/14
  • The staff was very professional and timely. I will recommend Hand and Wrist Clinic to family and friends. Thank you guys - 06/05/15
  • Outstanding experience!!! - 09/19/14
  • I've been treated great by the staf. I think you'll are angels from heaven. - 12/18/14
  • Very thoughough in his examination of my issue and in the explanation of the possible causes. - 07/02/14
  • Thank you all for everything you do! Keep up the good work. - 07/21/14
  • Great Job - 06/09/14
  • Outstanding. Keep up the excellent work. - 05/19/15
  • Great care! Would highly recommend - 09/19/14
  • The entire staff has been more than amazing through this process, I will for sure refer you all. - 06/12/15
  • 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
  • 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
  • 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
  • Felt informed and heard. - 06/06/14
  • The doctor spoke to me with a genuine concern and I was able to understand options for treatment. - 06/03/14
  • Doc and staff were awesome!! Thanks a lot. - 02/03/15
  • Awesome facility and staff! - 02/06/15
  • outstanding. - 07/09/14
  • I cannot say enouhg good things about this place. Thank you all so much!!! - 06/06/14
  • Dr Henry saved my broken hand. David and Lois were amazing. Thank you all so much for fixing my hand. - 06/06/14
  • 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
  • I feel privileged to live where I can easily come to such a competent doctor. - 07/16/14
  • 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
  • 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
  • Karen was Outstanding!! - 11/24/14
  • Absolutely would reccommend Dr. Henry and staff!Thank you! - 07/30/14
  • I loved the service that I received at this facility. - 06/03/14
  • dr and staff r kick ass in helping me get my hand better thanks guys!!! - 07/10/14
  • very pleasant experience thanks for your help. - 12/16/14
  • very prfessional, put my needs and health above everything else! - 08/12/14
  • great service thanks soooooooo much - 09/30/14
  • Great visit, I am very pleased. - 07/21/15
  • Very pleased with doctor & staff. - 10/14/14
  • 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
  • everyone VERY Professional! - 08/21/14
  • Teresa was very professional. - 07/15/14
  • Thank you! - 05/29/15
  • 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
  • Great staff! - 07/23/14
  • 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
  • Great Doctor. - 05/29/15
  • Thank you. - 06/11/15
  • This has been a life changing experience! Thank You Dr. Henry. - 08/27/14










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