Abstract
Elbow deformities is one of the most widespread pathologies in patients with arthrogryposis. In the majority of the cases children have extension contractures. Most of the children have limitation of active and passive movements in elbow. The aim of this research was to establish the efficiency of prolonged block of plexus axillaris in children with extension contractures of the elbows due to arthrogryposis. From 2010 to 2011 we performed prolonged block of plexus axillaris in 23 children with arthrogryposis after mobilization of elbow. During catheterization of perineural space we use ultrasound navigation and neurostimulation. We carry out elbow capsulotomy and V-Y triceps lengthening with (or without) transposition muscles. Prolonged block of plexus axillaris after these operation helps to improve passive movements in the elbow (the average passive flexion was 80-50°, passive extension was 170-160°). The mean time of rehabilitation was 3 weeks. Combination of this method with physiotherapy helps to restore range of motion in elbow in patients with arthrogryposis.
Highlights
Elbow deformities is one of the most widespread pathologies in patients with arthrogryposis
The aim of this research was to establish the efficiency of prolonged block of plexus axillaris in children with extension contractures of the elbows due to arthrogryposis
Bone Joint Surg.–1973. – Vol 55-B. – P. 834–840
Summary
В большинстве случаев активное сгибание в локтевом суставе у больных с артрогрипозом отсутствует, пассивное сгибание ограничено или сохранено. The aim of this research was to establish the efficiency of prolonged block of plexus axillaris in children with extension contractures of the elbows due to arthrogryposis. From 2010 to 2011 we performed prolonged block of plexus axillaris in 23 children with arthrogryposis after mobilization of elbow. The mean time of rehabilitation was 3 weeks Combination of this method with physiotherapy helps to restore range of motion in elbow in patients with arthrogryposis. Деформации локтевого сустава находятся на третьем месте по частоте поражения опорнодвигательного аппарата у больных с артрогрипозом и встречаются в 25–95% случаев [16, 19]. Для получения достаточной амплитуды пассивных движений в локтевых суставах при раз-
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