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Upper-limb joint contracture

MedGen UID:
413001
•Concept ID:
C2750635
•
Anatomical Abnormality; Finding
Synonym: Contractures of the joints of the upper limbs
 
HPO: HP:0100360

Definition

A limitation in the passive range of motion of a joint of the upper limb resulting from loss of elasticity in the periarticular tissues owing to structural changes of non-bony tissues, such as muscles, tendons, ligaments, joint capsules or skin. [from HPO]

Professional guidelines

PubMed

Tetraplegia Management Update.
Fridén J, Gohritz A
J Hand Surg Am 2015 Dec;40(12):2489-500. doi: 10.1016/j.jhsa.2015.06.003. PMID: 26537454
Advances in the management of Dupuytren disease: collagenase.
Hentz VR, Watt AJ, Desai SS, Curtin C
Hand Clin 2012 Nov;28(4):551-63. Epub 2012 Sep 18 doi: 10.1016/j.hcl.2012.08.003. PMID: 23101605
Dupuytren disease: Anatomy, pathology, presentation, and treatment.
Rayan GM
J Bone Joint Surg Am 2007 Jan;89(1):189-98. doi: 10.2106/00004623-200701000-00026. PMID: 17256226

Recent clinical studies

Etiology

Considerations for Hand Surgery in Patients With Scleroderma.
Brown CR, Crouser NJ, Speeckaert AL
Hand (N Y) 2023 Jan;18(1):32-39. Epub 2021 May 31 doi: 10.1177/15589447211017211. PMID: 34053315Free PMC Article
Surgical Management of Spastic Shoulder Deformities in Adult Patients.
Fahrenkopf MP, Rhee PC
J Hand Surg Am 2022 Sep;47(9):906.e1-906.e9. Epub 2022 Jun 3 doi: 10.1016/j.jhsa.2022.03.023. PMID: 35660337
Tenosynovitis of the Hand and Wrist: A Critical Analysis Review.
Blood TD, Morrell NT, Weiss AC
JBJS Rev 2016 Mar 29;4(3) doi: 10.2106/JBJS.RVW.O.00061. PMID: 27500430
Impact of diabetes on outcomes in hand surgery.
Brown E, Genoway KA
J Hand Surg Am 2011 Dec;36(12):2067-72. doi: 10.1016/j.jhsa.2011.10.002. PMID: 22123050
The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance.
Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S
Scand J Rehabil Med 1975;7(1):13-31. PMID: 1135616

Diagnosis

Camptodactyly.
Takagi T
J Hand Surg Asian Pac Vol 2024 Dec;29(6):547-553. Epub 2024 Nov 14 doi: 10.1142/S2424835524300032. PMID: 39544035
Classification of elbow stiffness.
Marinelli A, Guerra E, Bain G
J ISAKOS 2024 Apr;9(2):234-239. Epub 2023 Nov 2 doi: 10.1016/j.jisako.2023.10.011. PMID: 37923144
Allelic heterogeneity of Proteus syndrome.
Buser A, Lindhurst MJ, Kondolf HC, Yourick MR, Keppler-Noreuil KM, Sapp JC, Biesecker LG
Cold Spring Harb Mol Case Stud 2020 Jun;6(3) Epub 2020 Jun 12 doi: 10.1101/mcs.a005181. PMID: 32327430Free PMC Article
The thrower's shoulder.
Kinsella SD, Thomas SJ, Huffman GR, Kelly JD 4th
Orthop Clin North Am 2014 Jul;45(3):387-401. doi: 10.1016/j.ocl.2014.04.003. PMID: 24975765
Infantile systemic hyalinosis.
Shin HT, Paller A, Hoganson G, Willner JP, Chang MW, Orlow SJ
J Am Acad Dermatol 2004 Feb;50(2 Suppl):S61-4. doi: 10.1016/s0190-9622(03)02798-1. PMID: 14726869

Therapy

Can the early use of botulinum toxin in post stroke spasticity reduce contracture development? A randomised controlled trial.
Lindsay C, Ispoglou S, Helliwell B, Hicklin D, Sturman S, Pandyan A
Clin Rehabil 2021 Mar;35(3):399-409. Epub 2020 Oct 11 doi: 10.1177/0269215520963855. PMID: 33040610Free PMC Article
Could coenzyme Q10 be the treatment for Dupuytren's disease?
Lourens W
BMJ Case Rep 2019 Mar 1;12(3) doi: 10.1136/bcr-2018-226419. PMID: 30826776Free PMC Article
Advances in the management of Dupuytren disease: collagenase.
Hentz VR, Watt AJ, Desai SS, Curtin C
Hand Clin 2012 Nov;28(4):551-63. Epub 2012 Sep 18 doi: 10.1016/j.hcl.2012.08.003. PMID: 23101605
Amputations and prosthetics.
Pinzur MS
Chir Narzadow Ruchu Ortop Pol 1999;64(5):571-81. PMID: 10676021
Dynamic skeletal fixation in the upper extremity.
Kasparyan NG, Hotchkiss RN
Hand Clin 1997 Nov;13(4):643-63. PMID: 9403299

Prognosis

Classification of elbow stiffness.
Marinelli A, Guerra E, Bain G
J ISAKOS 2024 Apr;9(2):234-239. Epub 2023 Nov 2 doi: 10.1016/j.jisako.2023.10.011. PMID: 37923144
Biceps-to-triceps transfer technique.
Endress RD, Hentz VR
J Hand Surg Am 2011 Apr;36(4):716-21. doi: 10.1016/j.jhsa.2011.01.028. PMID: 21463733
Modified supracondylar amputation of the femur.
Majeski J
Am Surg 2004 Mar;70(3):265-7. PMID: 15055852
Surgical treatment of extraarticular elbow contracture.
Morrey BF
Clin Orthop Relat Res 2000 Jan;(370):57-64. doi: 10.1097/00003086-200001000-00007. PMID: 10660702
The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance.
Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S
Scand J Rehabil Med 1975;7(1):13-31. PMID: 1135616

Clinical prediction guides

Outcomes of bipedicle V-Y 'cup' flap for repair of volar oblique fingertip amputations.
Cevik K, Arik A, Eskandari MM
J Hand Surg Eur Vol 2023 Feb;48(2):144-149. Epub 2022 Oct 7 doi: 10.1177/17531934221127860. PMID: 36205049
Paediatric Trigger-Locked Thumb.
Fernandes C, Dong K, Rayan G
J Hand Surg Asian Pac Vol 2022 Feb;27(1):2-9. Epub 2022 Feb 23 doi: 10.1142/S2424835522300018. PMID: 35193463
Variation factors of stereotypical hand movements in subjects with Rett syndrome.
Hirano D, Taniguchi T
Dev Neurorehabil 2019 Aug;22(6):376-379. Epub 2018 Oct 1 doi: 10.1080/17518423.2018.1523245. PMID: 30273509
Hand images: normal and abnormal.
Sy WM, Bay R, Camera A
J Nucl Med 1977 May;18(5):419-24. PMID: 870633
The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance.
Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S
Scand J Rehabil Med 1975;7(1):13-31. PMID: 1135616

Recent systematic reviews

Flap survival and functional outcomes in elbow soft tissue reconstruction: A 25-year systematic review.
Kahramangil B, Pires G, Ghaznavi AM
J Plast Reconstr Aesthet Surg 2022 Mar;75(3):991-1000. Epub 2021 Dec 2 doi: 10.1016/j.bjps.2021.11.091. PMID: 34961697
Range-of-motion improvement and complication rate in open and arthroscopic osteocapsular arthroplasty for primary osteoarthritis of the elbow: a systematic review.
Kim DM, Han M, Jeon IH, Shin MJ, Koh KH
Int Orthop 2020 Feb;44(2):329-339. Epub 2019 Dec 13 doi: 10.1007/s00264-019-04458-z. PMID: 31834444
Shoulder and elbow range of motion for the performance of activities of daily living: A systematic review.
Oosterwijk AM, Nieuwenhuis MK, van der Schans CP, Mouton LJ
Physiother Theory Pract 2018 Jul;34(7):505-528. Epub 2018 Jan 29 doi: 10.1080/09593985.2017.1422206. PMID: 29377745
Static Progressive Orthoses for Elbow Contracture: A Systematic Review.
Chen B, Lin J, Liu L, Niu W
J Healthc Eng 2017;2017:7498094. Epub 2017 Sep 7 doi: 10.1155/2017/7498094. PMID: 29081938Free PMC Article
Effectiveness of Occupational Therapy Interventions for Adults With Musculoskeletal Conditions of the Forearm, Wrist, and Hand: A Systematic Review.
Roll SC, Hardison ME
Am J Occup Ther 2017 Jan/Feb;71(1):7101180010p1-7101180010p12. doi: 10.5014/ajot.2017.023234. PMID: 28027038Free PMC Article

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