By Lynn T. Staheli, Judith G. Hall, Kenneth M. Jaffe, Diane O. Paholke
The time period arthrogryposis describes quite a number congenital contractures that bring about formative years deformities. It incorporates a variety of syndromes and sporadic deformities which are infrequent separately yet jointly aren't unusual. the purpose of this publication is to supply future health care execs, participants affected with arthrogryposis, and their households with a precious advisor to higher comprehend the and its treatment. With this target in brain, the editors have taken nice care to make sure that the presentation of advanced medical details is without delay scientifically actual, sufferer orientated, and available to readers with no clinical history.
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Extra resources for Arthrogryposis: a text atlas
The elbow will often be in extension. Triceps function will be present, but biceps and brachialis are nonfunctional or extremely weak (Fig. 2). When the elbow is flexed, biceps function will be better but is limited by the stiffness of the elbow. It is important to consider the lower extremity function before planning treatment for a stiff elbow. The usual goal for elbow treatment is to allow the hand to at least passively reach the face. However, if crutches or other assistive devices are needed for ambulation, an elbow release may not be wise or may be deferred until lower extremity function is improved.
Screening Examination In addition to evaluation of specific deformities, a screening examination should be a routine part of the evaluation. Look at the whole child. Perform a forward bending test to assess the spine for scoliosis. This may be performed with the child sitting or standing (Chapter 3). Avoid focusing only on the deformity that is currently the major problem. Fig. 6 Recurrent deformity. Recurrence of clubfoot deformity is very common. Often the foot develops a varus deformity with pressure over the base of the fifth metatarsal (arrow).
The primary objective of orthopedic management is to improve function by correcting deformity. Secondary objectives include improvement in appearance, facilitating care and control of discomfort, and reducing the risk of pain in adult life. Plan management of the child is based on a lifetime perspective. Our goal is to help each child reach its potential. Approach treatment with optimism, as most children with amyoplasia have the potential of living a satisfying and productive life (Fig. 1). Unlike many children with other neuromuscular disorders, the amyoplastic child looks most deformed at birth.
Arthrogryposis: a text atlas by Lynn T. Staheli, Judith G. Hall, Kenneth M. Jaffe, Diane O. Paholke