Treatment of the upper extremity contracture/deformities

Scott N. Oishi, Olga Agranovich, Giorgio E. Pajardi, Chiara Novelli, Alexey G. Baindurashvili, Svetlana I. Trofimova, Hisham Abdel-Ghani, Evgenia Kochenova, Giulietta Prosperpio, Andrea Jester, Güney Yilmaz, Hakan Şenaran, Oksana Kose, Lesley Butler

Research output: Contribution to journalArticlepeer-review

19 Scopus citations

Abstract

Patients with arthrogryposis multiplex congenita have a characteristic upper extremity resting posture consisting of internal rotation of the shoulders, elbow extension, flexed wrists, thumb-in palm deformities, and variable degrees of finger contractures. Treatment of these patients is aimed at improving independence and performance of activities of daily living. Although each area needs to be assessed independently for the most appropriate surgical procedure, often multiple areas can be addressed at the same operative setting. This limits the number of anesthetic exposures and cast immobilization time. The following is a synopsis of treatment strategies presented at the second international symposium on Arthrogryposis which took place in St Petersburg in September 2014.

Original languageEnglish (US)
Pages (from-to)S9-S15
JournalJournal of Pediatric Orthopaedics
Volume37
Issue number5
DOIs
StatePublished - 2017

Keywords

  • Amyoplasia
  • Arthrogryposis
  • Arthrogryposis multiplex congenital
  • Congenital contracture syndromes
  • Distal arthrogryposis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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