Contracture
Permanent shortening of muscles, tendons, or other soft tissues resulting in restricted joint motion and functional limitation.
Full Definition
A contracture represents permanent structural shortening of soft tissues around a joint, leading to loss of normal range of motion. Unlike temporary stiffness, contractures involve actual tissue changes including fibrosis, adhesion formation, or muscle fiber shortening that cannot be overcome by passive stretching alone. In orthopedic rehabilitation, preventing contractures is a primary goal, particularly in post-surgical patients with prolonged immobilization.
Usage
Usage note: Distinguish from temporary stiffness which can be overcome with gentle stretching; contractures require aggressive intervention or surgery.
In Context
- "Early mobilization was initiated to prevent development of knee flexion contracture following prolonged immobilization." — physical therapy initial evaluation
- "The established elbow flexion contracture limited the patient's ability to perform overhead reaching tasks." — occupational therapy progress note