Treatment of the upper extremity contracture/deformities

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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. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.

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AlanDeğerDil
dc.contributor.authorOishi, Scott N.
dc.contributor.authorAgranovich, Olga
dc.contributor.authorPajardi, Giorgio E.
dc.contributor.authorNovelli, Chiara
dc.contributor.authorBaindurashvili, Alexey G.
dc.contributor.authorTrofimova, Svetlana I.
dc.contributor.authorAbdel-Ghani, Hisham
dc.contributor.authorKochenova, Evgenia
dc.contributor.authorProsperpio, Giulietta
dc.contributor.authorJester, Andrea
dc.contributor.authorYilmaz, Güney
dc.contributor.authorŞenaran, Hakan
dc.contributor.authorKose, Oksana
dc.contributor.authorButler, Lesley
dc.date.accessioned2026-10-18T20:29:30.069228068Z
dc.date.available2026-10-18T20:29:30.069228068Z
dc.date.issued2017
dc.description.abstractPatients 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. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
dc.identifier.doi10.1097/bpo.0000000000001002
dc.identifier.endpageS15
dc.identifier.issn0271-6798
dc.identifier.issue5
dc.identifier.pmid28594687
dc.identifier.scopus2-s2.0-85020935059
dc.identifier.startpageS9
dc.identifier.urihttps://rdlopen.rawdatalibrary.net/r/ebyu/14705
dc.identifier.volume37
dc.language.isoen
dc.publisherLippincott Williams and Wilkins
dc.relation.ispartofJournal of Pediatric Orthopaedics
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAmyoplasia
dc.subjectArthrogryposis
dc.subjectArthrogryposis multiplex congenital
dc.subjectCongenital contracture syndromes
dc.subjectDistal arthrogryposis
dc.subjectAbnormalities, Multiple
dc.subjectActivities of Daily Living
dc.subjectArthroplasty
dc.subjectChild, Preschool
dc.subjectContracture
dc.subjectElbow Joint
dc.subjectFinger Joint
dc.subjectHumans
dc.subjectInfant
dc.subjectMale
dc.subjectMuscle, Skeletal
dc.subjectRange of Motion, Articular
dc.subjectShoulder Joint
dc.subjectThumb
dc.subjectWrist Joint
dc.subjectarm disease
dc.subjectarm malformation
dc.subjectArticle
dc.subjectelbow disease
dc.subjectflexion contracture
dc.subjecthuman
dc.subjectosteotomy
dc.subjectpriority journal
dc.subjectshoulder disease
dc.subjecttendon transfer
dc.titleTreatment of the upper extremity contracture/deformities
dc.typeArticle
dspace.entity.typePublication
rdl.citation.scopus27
rdl.department*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.
rdl.source.indexSCOPUS
rdl.source.indexPUBMED