Post-Traumatic Contracture

摘要: Contracture after injuries to the hand and wrist is not uncommon, affecting particularly wrist, metacarpophalangeal (MCP) proximal interphalangeal (PIP) joints. Fortunately, in most cases contracture either resolves or clinically significant can be ignored. In others, however, treatment required. The nature of a depends very much on severity initial injury, received perhaps importantly patient’s attitude. For latter, patients understanding what expected them paramount. Even if optimal, an unresponsive patient will more than likely have poor outcome, including ongoing contracture. With regard injury itself, severe trauma; it that develop this reason important clinician appreciates particular structures been damaged; there any bony has articular cartilage damaged, mal-alignment? soft tissues again ascertain which permanently dorsal volar capsule (volar plate), collaterals. addition, surrounding injured, tendons central slip, but also neurovascular as well skin underlying tissues. All these may need attention addressed.