Long-Term Results of Forearm Shortening and Volar Radiocarpal Capsulotomy for Wrist Flexion Deformity in Children With Amyoplasia

Burgess, Ronald C.; Robbe, Rudy

doi:10.1016/j.jhsa.2011.10.013

Cited by 7 publications

(12 citation statements)

References 8 publications

(5 reference statements)

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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%

“…The study by Burgess and Robbe highlighted this, with the operation in nine extremities resulting in salvage procedures completed or suggested, or recurrent flexion contractures in all nine joints [1]. An older study by Mennen also found the results were not sustained until an additional one-step carpectomy with tendon transfer was included [21].…”

Section: Discussionmentioning

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%

“…Mennen found that wrist and finger range of motion was increased in all joints following surgery and recommended the ideal age for surgery as three to six months (Table 3) (Table 4) [19]. In studies addressing the results of distal radius and ulnar osteotomy and volar capsulotomy, it was shown that initial improvement was not sustained and the procedure was not recommended as treatment [1,19].…”

Section: Wristmentioning

confidence: 99%

“…Arthrogryposis multiplex congenita (AMC) or arthrogryposis is a rare, congenital, non-progressive condition presenting with soft tissue contractures affecting two or more joints [1]. AMC occurs between 1:3000 and 1:5000 live births [2], with approximately equal gender ratio [3].…”

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: Discussionmentioning

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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Amyoplasia revisited

Hall

Aldinger²,

Tanaka

2014

American J of Med Genetics Pt A

103

140

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Amyoplasia is a specific type and the most common form of arthrogryposis (multiple congenital contractures). It is a clinical diagnosis at this time. Care should be used making the diagnosis because of the implications for recurrence, natural history, associated anomalies, and both etiology and pathogenesis. We reviewed over 600 published reports and 2,500 individual records to identify the 560 individuals reported here. Affected limbs had characteristic positions with fatty-fibrous replacement of muscle. Upper limb involvement was usually characterized by extended elbows. Lower limbs were held in various positions at birth; however, equinovarus positioning of feet was almost always present. Symmetric involvement was common. Among 560 affected individuals, subtypes were identified: four-limb symmetric involvement (331/560 = 55.9%), severe involvement (41/560 = 7.3%), three-limb involvement (27/560 = 4.8%), upper limb only Amyoplasia (ULA; 94/560 = 16.8%), and lower limb only Amyoplasia (LLA; 25/560 = 15.5%). Discordant monozygotic twinning was increased, occurring in 6.6% (37/560; OR 10.9). A variety of additional anomalies were seen, attributed to apparent vascular compromise. Gastrointestinal vascular compromise-type anomalies were present in 9.1% (51/560), trunk muscle defects in another 2.7% (15/560), digit compromise in 12.1% (68/560), constriction rings in 4.3% (24/560), and perinatal long bone fractures in 10.5% (59/560). Although prenatal ultrasound became the standard of care in 1990, only about one quarter of affected pregnancies were diagnosed prenatally since 1990. Amyoplasia appears to be completely sporadic. Novel pathogenetic mechanisms for the congenital anomalies seen in Amyoplasia need to be identified.

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Amyoplasia involving only the upper limbs or only involving the lower limbs with review of the relevant differential diagnoses

Hall

2014

American J of Med Genetics Pt A

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Of individuals with Amyoplasia, 16.8% (94/560) involve only the upper limbs (Upper Limb Amyoplasia-ULA) and 15.2% (85/560) involve only the lower limbs (Lower Limb Amyoplasia-LLA). The accompanying paper deals with other forms of Amyoplasia [Hall et al., 2013] and discusses etiology. An excess of one of monozygotic (MZ) twins is seen in both groups (ULA 4/94 (4.3%), LLA 5/85 (5.9%)), gastrointestinal (GI) abnormalities thought to be of vascular origin (bowel atresia and gastroschisis) (ULA 16/94 (17%), LLA 4/85 (4.7%)), small or partial absence of digits (ULA 6/94 (6.2%), LLA 8/85 (9.4%)), and umbilical cord wrapping around the limbs at birth (ULA 3/94 (3.2%), LLA 7/85 (8.2%)) (severe enough to leave a permanent groove). Pregnancy complications occurred in 42/60 (70%) of ULA and 36/54 (67%) of LLA. Prenatal diagnosis, after ultrasound usage became routine, occurred in only 7/25 (28%) of ULA and 5/12 (12%) of LLA. This series may represent an over estimate of the complications and associations occurring in ULA and LLA. Differential diagnoses separating LLA from the genetic forms of "lower limb only" arthrogryposis and ULA from "upper limb only" genetic forms of arthrogryposis and Erb's palsy is provided.

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Long-Term Results of Forearm Shortening and Volar Radiocarpal Capsulotomy for Wrist Flexion Deformity in Children With Amyoplasia

Cited by 7 publications

References 8 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

Amyoplasia revisited

Amyoplasia involving only the upper limbs or only involving the lower limbs with review of the relevant differential diagnoses

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