[Bilateral biceps replacement-plasty by transposition of the latissimus dorsi muscle in arthrogryposis multiplex congenita. A case report].
The case of a four-year old girl with arthrogryposis multiplex congenita is reported. Primary clinical examination revealed bilateral passive elbow flexion only 0-20-70 without active elbow flexion. A two-stage operative procedure was chosen for both sides. At first an elbow arthrolysis was performed with subsequent intensive physiotherapy. In a second session we performed a bipolar transposition of the latissimus dorsi as a myocutaneous flap. The patient was first operated on the left and afterwards on the right side. By this procedure, the patient achieved a significant improvement of both passive and active elbow flexion mobility. The range of active motion was 0-30-90 and 0-40-90 degrees.
Mailänder
P
P
Klinik für Plastische, Hand- und Wiederherstellungschirurgie, Medizinischen Hochschule Hannover im Krankenhaus Oststadt.
Machens
H G
HG
Rieck
B
B
Wittig
K
K
Berger
A
A
D001176:Arthrogryposis / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004551:Elbow Joint / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009048:Motor Skills / Q000502:physiology; D018482:Muscle, Skeletal / Q000637:transplantation*; D016059:Range of Motion, Articular / Q000502:physiology*; D013524:Surgical Flaps / Q000379:methods*; D016896:Treatment Outcome
Beiderseitige Bizepsersatzplastik durch Transposition des M. latissimus dorsi bei Arthrogryposis multiplex congenita. Ein Fallbericht.