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Interbrachial Pinch by Trapezius Transfer in Amyoplasia Congenita: A Case Report
Amyoplasia congenita, or “classic distal arthrogryposis,” is the most common disorder among the congenital, non-progressive, multiple joint contractural conditions named arthrogryposis. The cause remains unknown, and it occurs sporadically. Abnormal neurological examination indicates that movement i...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459628/ https://www.ncbi.nlm.nih.gov/pubmed/28607845 http://dx.doi.org/10.1097/GOX.0000000000001292 |
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author | Thione, Alessandro Cavadas, Pedro C. Espadero, Alberto Perez Rubi, Carlo G. |
author_facet | Thione, Alessandro Cavadas, Pedro C. Espadero, Alberto Perez Rubi, Carlo G. |
author_sort | Thione, Alessandro |
collection | PubMed |
description | Amyoplasia congenita, or “classic distal arthrogryposis,” is the most common disorder among the congenital, non-progressive, multiple joint contractural conditions named arthrogryposis. The cause remains unknown, and it occurs sporadically. Abnormal neurological examination indicates that movement in utero was diminished as a result of an abnormality of the central or peripheral nervous system, the motor end plate, or muscle. The absence of central neural pathology indicates the origin in akinetic fetal condition. Three weeks are enough to cause muscle weakness and joint fibrosis. Joint contractures in amyoplasia are often rigid and refractory to nonoperative treatment such as passive stretching. Surgery is focused on each patient's need respecting adaptive maneuvers to accomplish daily tasks. We present a case in which pectoral major muscle had no strength for pinching; a trapezius muscle transfer was planned to obtain an interbrachial pinch useful for grasping. |
format | Online Article Text |
id | pubmed-5459628 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-54596282017-06-12 Interbrachial Pinch by Trapezius Transfer in Amyoplasia Congenita: A Case Report Thione, Alessandro Cavadas, Pedro C. Espadero, Alberto Perez Rubi, Carlo G. Plast Reconstr Surg Glob Open Case Report Amyoplasia congenita, or “classic distal arthrogryposis,” is the most common disorder among the congenital, non-progressive, multiple joint contractural conditions named arthrogryposis. The cause remains unknown, and it occurs sporadically. Abnormal neurological examination indicates that movement in utero was diminished as a result of an abnormality of the central or peripheral nervous system, the motor end plate, or muscle. The absence of central neural pathology indicates the origin in akinetic fetal condition. Three weeks are enough to cause muscle weakness and joint fibrosis. Joint contractures in amyoplasia are often rigid and refractory to nonoperative treatment such as passive stretching. Surgery is focused on each patient's need respecting adaptive maneuvers to accomplish daily tasks. We present a case in which pectoral major muscle had no strength for pinching; a trapezius muscle transfer was planned to obtain an interbrachial pinch useful for grasping. Wolters Kluwer Health 2017-05-23 /pmc/articles/PMC5459628/ /pubmed/28607845 http://dx.doi.org/10.1097/GOX.0000000000001292 Text en Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Case Report Thione, Alessandro Cavadas, Pedro C. Espadero, Alberto Perez Rubi, Carlo G. Interbrachial Pinch by Trapezius Transfer in Amyoplasia Congenita: A Case Report |
title | Interbrachial Pinch by Trapezius Transfer in Amyoplasia Congenita: A Case Report |
title_full | Interbrachial Pinch by Trapezius Transfer in Amyoplasia Congenita: A Case Report |
title_fullStr | Interbrachial Pinch by Trapezius Transfer in Amyoplasia Congenita: A Case Report |
title_full_unstemmed | Interbrachial Pinch by Trapezius Transfer in Amyoplasia Congenita: A Case Report |
title_short | Interbrachial Pinch by Trapezius Transfer in Amyoplasia Congenita: A Case Report |
title_sort | interbrachial pinch by trapezius transfer in amyoplasia congenita: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5459628/ https://www.ncbi.nlm.nih.gov/pubmed/28607845 http://dx.doi.org/10.1097/GOX.0000000000001292 |
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