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2015 ; 9
(6
): 473-6
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Problems with the upper limb in arthrogryposis
#MMPMID26482520
Lester R
J Child Orthop
2015[Dec]; 9
(6
): 473-6
PMID26482520
show ga
INTRODUCTION: This short paper presents a personal view of the thinking processes
around the assessment and development of individualised management plans for
dealing with the problems of the upper limb in Arthrogryposis in children.
BACKGROUND: The paper will offer a definition of arthrogryposis, its incidence
and the range of anomalies. The problems associated with joint contractures are
defined. The goals of treatment include improvement in function as well as
cosmesis. PRIORITIES AND GOALS OF TREATMENT: Managing the mobility of the whole
child is very important in deciding what should be offered surgically in the
upper limb. Early manipulation and stretching as well as the pros and cons of
splints are discussed. PRINCIPLES OF SURGICAL PROCEDURES: The principles of
surgery including soft tissue release, changing the position of the arc of
movement of a joint, fixing stiff joints, tendon transfers and muscle transfers
are presented. The value of thumb web release and the surgical procedures
commonly used are described.