Hand Contractures

Hand contractures are abnormal tightening and shortening of the skin, muscles, or connective tissues in the hand, often resulting from burn injuries, trauma, or prolonged immobilization. Contractures can lead to stiffness, pain, and functional limitations, affecting the ability to perform activities of daily living and impacting overall quality of life.

Hand contractures may develop following burn injuries, hand trauma, or conditions such as Dupuytren’s contracture, which causes thickening and tightening of the tissue beneath the skin of the palm and fingers. Contractures can restrict finger movement, grip strength, and dexterity, making it difficult to perform tasks such as writing, typing, and grasping objects.

Treatment for hand contractures aims to restore mobility, reduce pain, and improve hand function through a combination of conservative measures and surgical interventions. Non-surgical treatments may include physical therapy, stretching exercises, splinting, or injections to soften and break down scar tissue.

Surgical options for hand contractures may include release procedures to cut and lengthen the tight tissues, tendon transfers to improve function, or skin grafting to cover wounds and restore skin integrity. Hand surgeons specializing in reconstructive hand surgery can perform delicate procedures to address contractures and optimize hand function.

Early intervention is essential for preventing the progression of hand contractures and preserving hand function. Patients with hand contractures should receive comprehensive care from a team of healthcare professionals, including hand surgeons, occupational therapists, and physical therapists, to achieve the best possible outcomes.