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Treatment of the Upper Extremity Contracture/Deformities
Scott N Oishi1, Olga Agranovich, Giorgio E Pajardi
1*Department of Hand Surgery, Texas Scottish Rite Hospital for Children, Dallas, TX †Arthrogrpyosos Clinic, Turner Scientific and Research Institute for Children's Orthopedics §Department of Foot and Ankle Surgery, Neuroorthopaedics and Systemic Disorders, Pediatric Orthopedic Institute n.a. H. Turner, Saint-Petersburg, Russia ∥Departments of Pediatric Orthopedics and Radiodiagnosis, Faculty of Medicine, Cairo University, Cairo, Egypt ‡Plastic & Reconstructive Surgery School, Università degli Studi di Milano ¶Hand Surgery & Rehabilitation Department Ospedale San Giuseppe, MultiMedica Group, Milan, Italy #Department of Hand Surgery, Birmingham Children's Hospital, Birmingham, UK **Department of Orthopedics and Traumatology, Medical School of Selcuk University ††Faculty of Medicine, Selcuk University §§Konya Bozkir State Hospital, Konya ‡‡Faculty of Medicine, Erzincan University, Erzincan, Turkey.
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.
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