Yonenobu K, Tada K, Swanson A B
J Pediatr Orthop. 1984 Sep;4(5):599-603.
Forty-five cases of arthrogryposis multiplex congenita were reviewed with respect to deformities and function of the hand. A distal predominance of the involvement and severity was apparent; hand deformity was a common manifestation in the arthrogrypotic patients. The majority of the hand deformities consisted of two types: one was a thumb-in-palm deformity with the fingers in intrinsic plus position, and another type was flexion contractures of the fingers at the interphalangeal joints. Regardless of type, hand function was impaired with severe or moderate deformity. Twenty-nine hands of 17 patients were successfully treated by surgery. Surgical methods are discussed based on an analysis of hand deformity and function.
对45例先天性多发性关节挛缩症患者的手部畸形和功能进行了回顾性研究。受累和严重程度在远端更为明显；手部畸形是关节挛缩症患者的常见表现。大多数手部畸形包括两种类型：一种是拇指内收畸形伴手指内在肌紧张位，另一种是手指指间关节屈曲挛缩。无论哪种类型，严重或中度畸形都会损害手部功能。17例患者的29只手通过手术成功治疗。基于对手部畸形和功能的分析，讨论了手术方法。
