Pediatric Joint Contractures

Aaron J. Huser; David S. Feldman

doi:10.1007/978-3-031-55767-5_18

Pediatric Joint Contractures

Aaron J. Huser
, David S. Feldman

Division of Pediatrics

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

Joint contractures in the lower extremities are found in a variety of congenital, developmental and acquired conditions. History and meticulous physical examination are required to create an appropriate treatment algorithm for your patient. Non-operative modalities should be attempted prior to surgical treatment after ensuring that the adjacent joints are reduced and not dislocated. Soft tissue lengthening or releases and bone shortening are the foundation of surgical treatment, and care of the neurovascular bundle should always be at the forefront of the surgeon’s mind. Postoperative management should be focused on regaining joint mobility and postoperative immobilization should only be considered in rare circumstances when a dislocated joint has been reduced.

Original language	English
Title of host publication	Pediatric Lower Limb Deformities
Subtitle of host publication	Principles and Techniques of Management, Second Edition
Publisher	Springer International Publishing
Pages	353-362
Number of pages	10
ISBN (Electronic)	9783031557675
ISBN (Print)	9783031557668
DOIs	https://doi.org/10.1007/978-3-031-55767-5_18
State	Published - Jan 1 2024

Keywords

Deformity
Joint contracture
Lower extremity

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10.1007/978-3-031-55767-5_18

Cite this

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N2 - Joint contractures in the lower extremities are found in a variety of congenital, developmental and acquired conditions. History and meticulous physical examination are required to create an appropriate treatment algorithm for your patient. Non-operative modalities should be attempted prior to surgical treatment after ensuring that the adjacent joints are reduced and not dislocated. Soft tissue lengthening or releases and bone shortening are the foundation of surgical treatment, and care of the neurovascular bundle should always be at the forefront of the surgeon’s mind. Postoperative management should be focused on regaining joint mobility and postoperative immobilization should only be considered in rare circumstances when a dislocated joint has been reduced.

AB - Joint contractures in the lower extremities are found in a variety of congenital, developmental and acquired conditions. History and meticulous physical examination are required to create an appropriate treatment algorithm for your patient. Non-operative modalities should be attempted prior to surgical treatment after ensuring that the adjacent joints are reduced and not dislocated. Soft tissue lengthening or releases and bone shortening are the foundation of surgical treatment, and care of the neurovascular bundle should always be at the forefront of the surgeon’s mind. Postoperative management should be focused on regaining joint mobility and postoperative immobilization should only be considered in rare circumstances when a dislocated joint has been reduced.

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EP - 362

BT - Pediatric Lower Limb Deformities

PB - Springer International Publishing

ER -

Pediatric Joint Contractures

Abstract

Keywords

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