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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

Scleroderma of the Hand: Evaluation and Treatment.
Beldner S, Rabinovich RV, Polatsch DB
J Am Acad Orthop Surg 2020 Aug 15;28(16):e686-e695. doi: 10.5435/JAAOS-D-19-00547. PMID: 32769717
Posterior Glenohumeral Instability: Diagnosis and Management.
Sheean AJ, Arner JW, Bradley JP
Arthroscopy 2020 Oct;36(10):2580-2582. Epub 2020 May 20 doi: 10.1016/j.arthro.2020.05.018. PMID: 32442706
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

Recent clinical studies

Etiology

Tenolysis and Salvage Procedures.
Cholok D, Burgess J, Fox PM, Chang J
Hand Clin 2023 May;39(2):203-214. Epub 2023 Feb 14 doi: 10.1016/j.hcl.2022.08.021. PMID: 37080652
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
Scleroderma of the Hand: Evaluation and Treatment.
Beldner S, Rabinovich RV, Polatsch DB
J Am Acad Orthop Surg 2020 Aug 15;28(16):e686-e695. doi: 10.5435/JAAOS-D-19-00547. PMID: 32769717
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
Therapy after injury to the hand.
Dorf E, Blue C, Smith BP, Koman LA
J Am Acad Orthop Surg 2010 Aug;18(8):464-73. doi: 10.5435/00124635-201008000-00003. PMID: 20675639

Diagnosis

Amyoplasia and distal arthrogryposis.
Griffet J, Dieterich K, Bourg V, Bourgeois E
Orthop Traumatol Surg Res 2021 Feb;107(1S):102781. Epub 2020 Dec 13 doi: 10.1016/j.otsr.2020.102781. PMID: 33321243
Scleroderma of the Hand: Evaluation and Treatment.
Beldner S, Rabinovich RV, Polatsch DB
J Am Acad Orthop Surg 2020 Aug 15;28(16):e686-e695. doi: 10.5435/JAAOS-D-19-00547. PMID: 32769717
Management of Joint Contractures in the Spastic Upper Extremity.
Wood KS, Daluiski A
Hand Clin 2018 Nov;34(4):517-528. doi: 10.1016/j.hcl.2018.06.011. PMID: 30286966
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
Intrinsic contracture of the hand: diagnosis and management.
Tosti R, Thoder JJ, Ilyas AM
J Am Acad Orthop Surg 2013 Oct;21(10):581-91. doi: 10.5435/JAAOS-21-10-581. PMID: 24084432

Therapy

Surgical Treatment for Recurrent Dupuytren Disease.
Hozack BA, Rayan GM
Hand (N Y) 2023 Jun;18(4):641-647. Epub 2021 Dec 28 doi: 10.1177/15589447211060447. PMID: 34963318Free PMC Article
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
Selective Neurectomy for the Spastic Upper Extremity.
Leclercq C
Hand Clin 2018 Nov;34(4):537-545. doi: 10.1016/j.hcl.2018.06.010. PMID: 30286968
Therapy after injury to the hand.
Dorf E, Blue C, Smith BP, Koman LA
J Am Acad Orthop Surg 2010 Aug;18(8):464-73. doi: 10.5435/00124635-201008000-00003. PMID: 20675639
Amputations and prosthetics.
Pinzur MS
Chir Narzadow Ruchu Ortop Pol 1999;64(5):571-81. PMID: 10676021

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
Incidence and potential predictors of early onset of upper-limb contractures after stroke.
Matozinho CVO, Teixeira-Salmela LF, Samora GAR, Sant'Anna R, Faria CDCM, Scianni A
Disabil Rehabil 2021 Mar;43(5):678-684. Epub 2019 Jul 22 doi: 10.1080/09638288.2019.1637949. PMID: 31328966
Musculoskeletal hand involvement in systemic sclerosis.
Sandler RD, Matucci-Cerinic M, Hughes M
Semin Arthritis Rheum 2020 Apr;50(2):329-334. Epub 2019 Nov 9 doi: 10.1016/j.semarthrit.2019.11.003. PMID: 31812353
Prevalence of scar contractures after burn: A systematic review.
Oosterwijk AM, Mouton LJ, Schouten H, Disseldorp LM, van der Schans CP, Nieuwenhuis MK
Burns 2017 Feb;43(1):41-49. Epub 2016 Sep 14 doi: 10.1016/j.burns.2016.08.002. PMID: 27639820
Management of knee deformities in children with arthrogryposis.
Lampasi M, Antonioli D, Donzelli O
Musculoskelet Surg 2012 Dec;96(3):161-9. Epub 2012 Aug 9 doi: 10.1007/s12306-012-0218-z. PMID: 22875688

Clinical prediction guides

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
Incidence and potential predictors of early onset of upper-limb contractures after stroke.
Matozinho CVO, Teixeira-Salmela LF, Samora GAR, Sant'Anna R, Faria CDCM, Scianni A
Disabil Rehabil 2021 Mar;43(5):678-684. Epub 2019 Jul 22 doi: 10.1080/09638288.2019.1637949. PMID: 31328966
Upper limb congenital muscular hypertrophy and aberrant muscle syndrome in children.
Dahan E, Chaves C, Bachy M, Fitoussi F
J Hand Surg Eur Vol 2018 Sep;43(7):751-755. Epub 2018 May 14 doi: 10.1177/1753193418774459. PMID: 29759027
Skin injuries and joint contractures of the upper extremities in Rett syndrome.
Hirano D, Taniguchi T
J Intellect Disabil Res 2018 Jan;62(1):53-59. doi: 10.1111/jir.12452. PMID: 29214702
Claw finger.
Mentari A
Am J Occup Ther 1978 Jan;32(1):35-40. PMID: 629177

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
Effect of arthroscopic shoulder release on shoulder mobility and bone deformity following brachial plexus birth injury: a systematic review and meta-analysis.
Massamba Vuvu T, Dorniol M, Le Nen D, Thépaut M, Brochard S, Pons C
J Shoulder Elbow Surg 2021 Oct;30(10):2428-2437. Epub 2021 Feb 7 doi: 10.1016/j.jse.2020.12.021. PMID: 33567353
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
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
Prevalence of scar contractures after burn: A systematic review.
Oosterwijk AM, Mouton LJ, Schouten H, Disseldorp LM, van der Schans CP, Nieuwenhuis MK
Burns 2017 Feb;43(1):41-49. Epub 2016 Sep 14 doi: 10.1016/j.burns.2016.08.002. PMID: 27639820

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