Treatment and outcomes of arthrogryposis in the upper extremity

Abstract

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.

PROMIS® Health Organization (PHO) 2020 Conference Toward Patient-Centered Care: PROMIS Implementations and Advances Abstracts

“…Validation of the PROMIS ® Pediatric Item Banks Anxiety and Depressive Symptoms in a general Dutch population Leonie H. Klaufus 1,2 , Michiel A.J. Luijten 3,4 , Eva Verlinden 1 , Marcel F. van der Wal 1 , Caroline B. Terwee 4…”

“…Increasing test efficiency in between-item multidimensional computerized adaptive testing by aligning item selection and stopping rules Muirne C. S. Paap 1,2 , Johan Braeken 3 1 Oslo University Hospital, 2 University of Groningen, 3…”

“…In previous studies (1,2) , they have milder-than-expected disability. Although PROMIS discerns UE function in other congenital arm differences (3) , results for children with UCBED are not known. This study evaluates their responses to PROMIS Short Form Upper Extremity Function (UEF), Mobility, and Peer Relationships (PR) domains.…”

Perspectives on gait and motion analysis in the management of youth with arthrogryposis multiplex congenita

“…In brief, common surgical interventions for children with AMC include: (1) external rotation humeral osteotomies to improve position of the limb, elbow releases to improve ROM and the ability to self‐feed and; (2) carpal wedge and thumb reorientation osteotomies as well as webspace deepening to improve pinch, object manipulation, and object acquisition (Ezaki & Carter, ; Foy, Mills, Wheeler, Ezaki, & Oishi, ; Zlotolow, ; Zlotolow & Kozin, ; Zlotolow & Tiedeken, ). A detailed description on the orthopedic management of the upper limb can be found in another section of this special issue (Oishi et al, ).…”

Collaborating to advance interdisciplinary care for individuals with arthrogryposis

“…In an effort to better characterize and define AMC, the first theme includes manuscripts representing an international effort to define AMC (Dahan‐Oliel, Cachecho, et al, ), updates on disease coding (Bedard & Lowry, ), classification (Hall, Kimber, & Dieterich, ), and gene ontology (Kiefer & Hall, ). The second theme spans several manuscripts describing advances for diagnosis and management, including guidelines for early detection (Filges, Tercanli, & Hall, ), diagnostic workup (Dieterich et al, ), rehabilitation (Wagner et al, ), and orthopedic management (Hamdy et al, ; Oishi et al, ). A standardized autopsy protocol is proposed by Oberg, Magaki, and Hall () to allow for a methodical approach for examination that will facilitate subsequent study by investigators across disciplines.…”