Hand Stiffness and Contractures
Norman Weinzweig, MD, FACS
Surgery, Surgeon, Plastic Surgery
Hand stiffness and contractures may result from improper or prolonged splintage, burns, crush or avulsion injuries, following replantation. Often, multiple structures are involved including the soft tissues, tendons, ligaments, joints and bones.
Conservative management includes stretching exercises for the tendons, joints and muscles, use of a CPM machine, various static and dynamic splints or serial casting under the care of an experienced hand therapist. When conservative management is unsuccessful due to the severity of the scarring, stiffness or contracture, surgery is warranted. Successful functional outcomes depend on the combined efforts of the surgeon, therapist and patient.
, Hand Surgeon
, Hand Surgery
, Plastic Surgeon
, Plastic Surgery