Long-Term Outcome Following Carpal Wedge Osteotomy in the Arthrogrypotic Patient

Foy, Christian A.; Mills, Janith; Wheeler, Lesley; Ezaki, Marybeth; Oishi, Scott N.

doi:10.2106/jbjs.l.01122

Cited by 27 publications

(28 citation statements)

References 16 publications

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“…Twelve articles that met all inclusion and exclusion criteria were included, [1,[5][6][7][8]10,[14][15][16][17][18][19] and all included articles were published as Level 4 evidence.…”

Section: Resultsmentioning

confidence: 99%

“…In the study by Foy et al, 13 patients required additional surgery (thenar slides, tricepsplasty, elbow release) but no other complications were noted [10]. Both reviews concluded that dorsal wedge osteotomy is capable of correcting wrist flexion deformity and maintained results over time [8,10,22].…”

Section: Wristmentioning

confidence: 99%

“…Seven studies involved 88 patients diagnosed with AMC but no further classification [6,7,14,15,18,19]. Five studies included 71 patients with the amyoplasia form of AMC [1,5,8,10,16]. The mean age at surgery of individuals in all studies was 5.1 years and mean follow-up was 6.8 years (Table 1).…”

Section: Demographicsmentioning

confidence: 99%

“…Two studies addressed dorsal carpal wedge osteotomy as treatment for wrist flexion deformities [8,10]. Both found the procedure resulted in decreased resting flexion position, increased active extension, and promoted a more functionally located arc of motion.…”

Section: Wristmentioning

confidence: 99%

“…Surgical procedures are only indicated if these measures fail and basic activities of daily living (ADLs) require assistance [6]. Surgical goals are to improve quality of life and functional independence, accomplished by repositioning the upper limb in neutral alignment while maintaining any joint motion already present [10].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Outcomes at 2-Year Minimum Follow Up of Shoulder, Elbow and Wrist Surgery in Individuals with Arthrogryposis Multiplex Congenita

Miller¹,

Sawatzky²

2017

J Clin Exp Orthop

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Background: Arthrogryposis Multiplex Congenita (AMC) is a rare condition that has not been extensively studied, and the need for further research has been strongly emphasized. Despite substantial functional impact resulting from AMC, minimal research has been completed regarding mid-to long-term outcomes in this population. The objective of this systematic review was to identify existing knowledge concerning outcomes of shoulder, elbow and wrist surgery with a minimum two year follow-up in individuals with AMC.

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“…Twelve articles that met all inclusion and exclusion criteria were included, [1,[5][6][7][8]10,[14][15][16][17][18][19] and all included articles were published as Level 4 evidence.…”

Section: Resultsmentioning

confidence: 99%

Section: Wristmentioning

confidence: 99%

Section: Demographicsmentioning

confidence: 99%

Section: Wristmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Outcomes at 2-Year Minimum Follow Up of Shoulder, Elbow and Wrist Surgery in Individuals with Arthrogryposis Multiplex Congenita

Miller¹,

Sawatzky²

2017

J Clin Exp Orthop

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Treatment and outcomes of arthrogryposis in the upper extremity

Oishi

Agranovich

Zlotolow

et al. 2019

American J of Med Genetics Pt C

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Upper extremity involvement in patients with arthrogryposis multiplex congentia is quite frequent. Treatment initially consists of stretching and splinting as significant gains can be seen in the first years of life. The goal of any surgical procedure is to improve upper extremity function and performance of daily living activities, yet it is important to treat each patient individually and understand that areas do not always need to be addressed surgically. Despite overall lower functioning scores in this patient population, quality of life scores are comparable to the general aged adjusted population. This article will discuss the clinical presentation, treatment procedures and outcomes when addressing the upper extremities of patients presenting with arthrogryposis.

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Muscle and joint function in children living with arthrogryposis multiplex congenita: A scoping review

Gagnon

Caporuscio

Veilleux

et al. 2019

American J of Med Genetics Pt C

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Arthrogryposis multiplex congenita (AMC) is characterized by congenital joint contractures present in two or more body areas. Lack of fetal movement is the underlying cause of AMC, which can lead to abnormal connective tissue surrounding the joint resulting in stiffness and muscle atrophy. Treatment aims at improving function and mobility through surgical and/or conservative interventions. A scoping review was conducted to explore the existing knowledge of the evaluation and treatment of muscle and joint function in children with AMC. Three search engines were included and identified 1,271 articles. Eighty-seven studies met the selection criteria and were included in this review. All included studies focused on joints, 30 of which also assessed the muscle. Assessment most often included the position of the contractures (n = 72), as well as range of motion (n = 66). Interventions to improve muscle and joint function were reported in 82 of the 87 papers and included surgery (n = 70) and conservative interventions (n = 74) with bony surgery (i.e., osteotomy) the most common surgery and rehabilitation the most common conservative intervention. Recurrences of contractures were mentioned in 46 of the 68 studies providing a follow-up. Future studies should use validated measures to assess muscle and joint function, and conservative interventions should be described in greater detail and to include a longer follow-up.

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Long-Term Outcome Following Carpal Wedge Osteotomy in the Arthrogrypotic Patient

Cited by 27 publications

References 16 publications

Outcomes at 2-Year Minimum Follow Up of Shoulder, Elbow and Wrist Surgery in Individuals with Arthrogryposis Multiplex Congenita

Outcomes at 2-Year Minimum Follow Up of Shoulder, Elbow and Wrist Surgery in Individuals with Arthrogryposis Multiplex Congenita

Treatment and outcomes of arthrogryposis in the upper extremity

Muscle and joint function in children living with arthrogryposis multiplex congenita: A scoping review

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