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Arthrogryposis of the hand
Journal of Pediatric Orthopedics
|September 1, 1984
Summary
Arthrogryposis multiplex congenita commonly affects hands, causing deformities like thumb-in-palm or flexion contractures. Surgical intervention can successfully improve hand function in affected patients.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Hand Surgery
Background:
- Arthrogryposis multiplex congenita (AMC) is a rare congenital disorder characterized by multiple joint contractures.
- Hand involvement is a frequent manifestation of AMC, significantly impacting patient function and quality of life.
Purpose of the Study:
- To analyze the types of hand deformities in arthrogryposis multiplex congenita.
- To evaluate the functional outcomes of surgical interventions for hand deformities in AMC patients.
Main Methods:
- Retrospective review of 45 cases of arthrogryposis multiplex congenita.
- Analysis of hand deformities, severity, and functional impairment.
- Evaluation of surgical treatment outcomes for 29 affected hands.
Main Results:
- A distal predominance in the involvement and severity of hand deformities was observed.
- The most common deformities were thumb-in-palm and finger flexion contractures.
- Surgical treatment was successful in improving hand function for 17 patients (29 hands).
Conclusions:
- Hand deformities are a common and significant feature of arthrogryposis multiplex congenita.
- Surgical management offers a viable option for improving hand function in AMC patients.
- Tailored surgical approaches based on specific hand deformities are crucial for successful outcomes.