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Health Encylopedia

 
Contracture deformity
 
SubjectContents
Definition A contracture is a permanent tightening of muscle, tendons, ligaments, or skin that prevents normal movement of the associated body part. It can cause permanent deformity of the affected body part.
Alternative Names Deformity - contracture
Considerations A contracture develops when the normally elastic connective tissues become replaced with inelastic fibrous tissue; this makes the tissues resistant to stretching and prevents normal movement of the affected area. Contractures occur primarily in the skin, underlying tissues, muscle , tendons, and joint areas. The most common causes are scarring and lack of use (due to immobilization or inactivity). See also:
  • Dupuytren's contracture
  • claw hand
  • foot drop (a deformity where the foot points downward)
  • wrist drop (a deformity where the wrist cannot be lifted)
  • Volkmann's contracture
  • Becker's muscular dystrophy
  • cerebral palsy
  • Duchenne's muscular dystrophy
  • Common Causes
  • injury (including
  • burns )
  • reduced use (for example, from immobilization)
  • damage or degeneration of the nerves
  • inherited disorders (such as
  • muscular dystrophy )
    Home Care Home care is primarily a continuation of the care that the health care provider prescribes. For example, physical therapy exercises must be continued at home.
    Call your health care provider if
  • a contracture seems to be developing, or there is a decreased ability to move a joint.
  • What to expect at your health care provider's office The medical history will be reviewed and a physical examination will be performed. Medical history questions documenting contracture deformities in detail may include:
  • time pattern
  • When did it start?
  • quality
  • How bad is it?
  • How would you describe it?
  • How much movement is there?
  • location
  • Where is it exactly?
  • other
  • What other symptoms are also present?
  • Depending on the cause and type of contracture, diagnostic testing (such as an extremity X-ray ) may or may not be necessary. Intervention: Physical therapy, orthopedic appliances, or surgical intervention may be helpful for some types of contractures. After seeing your health care provider: You may want to add a diagnosis related to a contracture deformity to your personal medical record.
      

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