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Posterior elbow release and humeral osteotomy for patients with arthrogryposis.

Abstract
Children with arthrogryposis often lack the ability to feed themselves, largely due to limited shoulder external rotation and elbow flexion. Patients who can achieve passive elbow flexion through a surgical release but who cannot externally rotate their shoulders are still unable to reach their mouths with their hands. Combining a posterior elbow capsular release with a simultaneous humeral osteotomy in these patients places the forearm and hand in a much better position for function with minimal additional surgical exposure.
AuthorsDan A Zlotolow, Scott H Kozin
JournalThe Journal of hand surgery (J Hand Surg Am) Vol. 37 Issue 5 Pg. 1078-82 (May 2012) ISSN: 1531-6564 [Electronic] United States
PMID22483178 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2012 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
Topics
  • Arthrogryposis (physiopathology, surgery)
  • Bone Nails
  • Casts, Surgical
  • Child
  • Elbow Joint (physiopathology, surgery)
  • Humans
  • Humerus (surgery)
  • Osteotomy (methods)
  • Range of Motion, Articular

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