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Wrist Arthrodesis in Athetoid Type Cerebral Palsy: A Case Study of 2 Patients.
J Hand Surg Asian Pac Vol. 2021 Jun; 26(2):297-300.JH

Abstract

Wrist arthrodesis has been used successfully for the management of severe wrist flexion deformity when soft tissue procedures would not provide adequate correction. However, in athetoid type cerebral palsy which has a component of involuntary movement, the outcome of wrist arthrodesis has not been discussed much. We present our experience in 2 athetoid type cerebral palsy patients who underwent wrist arthrodesis due to severe involuntary movement of the wrist. One patient had a nonunion and both patients had unexpected aggravation of involuntary movement in the adjacent joints. Secure fixation using a pre-contoured plate is necessary and preparation for iliac bone grafting should be considered as proximal row carpectomy is usually not necessary in these patients. In addition, although single-event, multi-level surgery is advocated for patients with cerebral palsy, potential additional procedures for the adjacent joints should be discussed preoperatively because unexpected aggravation of involuntary movement of adjacent joints can occur after stabilization of the wrist.

Authors+Show Affiliations

Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea.Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea.Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

33928861

Citation

Seok, Hyun Sik, et al. "Wrist Arthrodesis in Athetoid Type Cerebral Palsy: a Case Study of 2 Patients." The Journal of Hand Surgery Asian-Pacific Volume, vol. 26, no. 2, 2021, pp. 297-300.
Seok HS, Chae YJ, Gong HS. Wrist Arthrodesis in Athetoid Type Cerebral Palsy: A Case Study of 2 Patients. J Hand Surg Asian Pac Vol. 2021;26(2):297-300.
Seok, H. S., Chae, Y. J., & Gong, H. S. (2021). Wrist Arthrodesis in Athetoid Type Cerebral Palsy: A Case Study of 2 Patients. The Journal of Hand Surgery Asian-Pacific Volume, 26(2), 297-300. https://doi.org/10.1142/S2424835521720115
Seok HS, Chae YJ, Gong HS. Wrist Arthrodesis in Athetoid Type Cerebral Palsy: a Case Study of 2 Patients. J Hand Surg Asian Pac Vol. 2021;26(2):297-300. PubMed PMID: 33928861.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wrist Arthrodesis in Athetoid Type Cerebral Palsy: A Case Study of 2 Patients. AU - Seok,Hyun Sik, AU - Chae,Young Ju, AU - Gong,Hyun Sik, PY - 2021/4/30/entrez PY - 2021/5/1/pubmed PY - 2021/6/10/medline KW - Athetoid type KW - Cerebral palsy KW - Nonunion KW - Wrist arthrodesis KW - Wrist deformity SP - 297 EP - 300 JF - The journal of hand surgery Asian-Pacific volume JO - J Hand Surg Asian Pac Vol VL - 26 IS - 2 N2 - Wrist arthrodesis has been used successfully for the management of severe wrist flexion deformity when soft tissue procedures would not provide adequate correction. However, in athetoid type cerebral palsy which has a component of involuntary movement, the outcome of wrist arthrodesis has not been discussed much. We present our experience in 2 athetoid type cerebral palsy patients who underwent wrist arthrodesis due to severe involuntary movement of the wrist. One patient had a nonunion and both patients had unexpected aggravation of involuntary movement in the adjacent joints. Secure fixation using a pre-contoured plate is necessary and preparation for iliac bone grafting should be considered as proximal row carpectomy is usually not necessary in these patients. In addition, although single-event, multi-level surgery is advocated for patients with cerebral palsy, potential additional procedures for the adjacent joints should be discussed preoperatively because unexpected aggravation of involuntary movement of adjacent joints can occur after stabilization of the wrist. SN - 2424-8363 UR - https://www.unboundmedicine.com/medline/citation/33928861/Wrist_Arthrodesis_in_Athetoid_Type_Cerebral_Palsy:_A_Case_Study_of_2_Patients_ L2 - https://www.worldscientific.com/doi/10.1142/S2424835521720115?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -
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