E-ISSN 2367-699X | ISSN 2367-7414
 

Case Report 


MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu.

Abstract
Arthrogryposis multiplex congenita is a syndrome characterized by the presence of congenital contractures involving multiple joints usually with flexion deformities, with or without pterygia or webbing at the joints. The aim of this case report was to highlight the challenges of management of severe knee contractures in AMC and possible solutions in a resource limited setting like ours. We presented a one-year-old child with bilateral severe knee contractures secondary to arthrogryposes. The involvement of knee is present in about 70% of cases with arthrogryposis, with flexion deformity more common than extension deformity. Knee flexion contractures, as seen in our patient, is one of the most disabling deformities. The surgical option adopted in the case presentedwere met with various challenges including abnormal muscles insertions, shortening and fibosis of the muscles, abnormal position and shortening of the neurovascular structures in the popliteal fossa.

Key words: Arthrogyroposis, knee contractures, osteotomies


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Bashir M Ibrahim
Articles by Abdulrahman A. A. Mamuda
Articles by Magaji G Taura
Articles by Lawan H Adamu
on Google
on Google Scholar
Article Statistics
 Viewed: 3512
Downloaded: 624
Cited: 0


REFERENCES
1. Datta, V. Sinha, A. Saili, A. and Nangia, S. Bruck Syndrome. Indian Journal of Pediatrics, Volume 72, May 2005 441-442 [DOI via Crossref]    [Pubmed]   
2. Eriksson M, Gutierrez-Farewik E, Brostrom E, Bartonek A. Gait in children with arthrogryposis multiplex congenita. J Child Orthop. 2010; 4(1):21–31. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
3. Staheli LT, Judith G, Jaffe KM, Pahole DD. Arthrogryposis: A Text Atlas. CH4. Lower extremity management. Pg. 55-70. Cambridge University Press. 1998.
4. Haliloglu G, Topaloglu H. Arthrogryposis and fetal hypomobility syndrome. Handb Clin Neurol 2013; 113:1311-9. [DOI via Crossref]    [Pubmed]   
5. Beck AE, McMillin MJ, Gildersleeve HI, Kezele PR, Shilvely KM, et al. Spectrum of mutation that cause arthrogryposis type 1 and 2B. AM J Med Genet A. 2013 Mar; 161A (3):550-5. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
6. Binkiewz-Glinska A, Sobierajska-Rek A, Bakula S, Weirzba J, Drewek K, et al. Arthrogryposis in infancy, multidisciplinary approach: a case report. BMC Pediatr. 2013; 13:184. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
7. Steffen TM, Molliger LA. Low-load, prolong stretch in the treatment of knee flexion contraction in nursing home residents. Phy Ther. 1995; 75(10):886-97. [Pubmed]   
8. Hughes RE, Risser JC. The correction of knee-flexion deformity after poliomyelitis, by wedging plasters. J Bone Joint Surg 1934; 16:935-46.
9. Queneau P. A propos de la correction des formes graves du genu flexumparalytique. Rev Chir Orthop 1952; 38:42-8.
10. Heydarian K, Akbarnia BA, Jabalameli M, Tabador K. Posterior capsulotomy for the treatment of severe flexion contractures of the knee. J Pediatr Orthop 1984; 4:700-4. [DOI via Crossref]    [Pubmed]   
11. Leong JCY, Alade CO, Fang D. Supracondylar femoral osteotomy for knee flexion contracture resulting from poliomyelitis. J Bone Joint Surg [Br] 1982; 64-B: 198-201. [DOI via Crossref]   
12. Saleh M, Gibson MF, Sharrard WJ. Femoral shortening in the correction of congenital knee flexion deformity with popliteal webbing. J Pediatr Orthop 1989; 9:609-11. [DOI via Crossref]    [Pubmed]   
13. Damsin, J, Ghanem, I Treatment of severe flexion deformity of the knee in children and adolescents using the ilizarov technique, J. Bone Joint Surg, 1996, 78, (1), 140-144
14. Gartsman GM, Bennett JB, Cain TE. Surgical correction of severe knee pterygium. Microsurg, 1988;9: 246-8. [DOI via Crossref]   
15. Van Bosse H, Feldman DS, Anavian, Sala DA. Treatment of knee flexion contracture in patients with arthrogryposis. J Paediatr Orthop. 2007; 27(8):930-937. [DOI via Crossref]    [Pubmed]   
16. Lampasi M, Antoniola D, Donzelli O. Management of knee deformities in children with arthrogryposis. Muscloskelet Surg. 2012:96(3); 161-169. [DOI via Crossref]    [Pubmed]   
17. Thompson GH, Bilinker RM. Comprehensive management of arthrogryposis multiplex conginata. Clin Orthop Relat Res. 1985; 194:6-14. [Pubmed]   

How to Cite this Article
Pubmed Style

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu. MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA. Int J Surg Med. 2015; 1(2): 76-79. doi:10.5455/ijsm.20150915055935


Web Style

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu. MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA. http://www.ejos.org/?mno=191141 [Access: October 13, 2019]. doi:10.5455/ijsm.20150915055935


AMA (American Medical Association) Style

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu. MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA. Int J Surg Med. 2015; 1(2): 76-79. doi:10.5455/ijsm.20150915055935



Vancouver/ICMJE Style

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu. MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA. Int J Surg Med. (2015), [cited October 13, 2019]; 1(2): 76-79. doi:10.5455/ijsm.20150915055935



Harvard Style

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu (2015) MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA. Int J Surg Med, 1 (2), 76-79. doi:10.5455/ijsm.20150915055935



Turabian Style

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu. 2015. MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA. International Journal of Surgery and Medicine, 1 (2), 76-79. doi:10.5455/ijsm.20150915055935



Chicago Style

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu. "MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA." International Journal of Surgery and Medicine 1 (2015), 76-79. doi:10.5455/ijsm.20150915055935



MLA (The Modern Language Association) Style

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu. "MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA." International Journal of Surgery and Medicine 1.2 (2015), 76-79. Print. doi:10.5455/ijsm.20150915055935



APA (American Psychological Association) Style

Bashir M Ibrahim, Abdulrahman A. A. Mamuda, Magaji G Taura, Lawan H Adamu (2015) MANAGEMENT OF SEVERE KNEE FLEXION CONTRACTURES IN A CHILD WITH ARTHROGRYPOSIS MULTIPLEX CONGENITA. International Journal of Surgery and Medicine, 1 (2), 76-79. doi:10.5455/ijsm.20150915055935