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Chapter 18b - Neuromuscular Conditions/Upper Limbs

from Section 3 - Core Paediatric Orthopaedics

Published online by Cambridge University Press:  30 January 2024

By
Luckshman Bavan  and
Rachel Buckingham
Edited by
Sattar Alshryda ,
Stan Jones  and
Paul A. Banaszkiewicz
Sattar Alshryda
Affiliation:
Al Jalila Children’s Specialty Hospital, Dubai Academic Health Corporation, Dubai UAE
Stan Jones
Affiliation:
Al Ahli Hospital, Qatar
Paul A. Banaszkiewicz
Affiliation:
Queen Elizabeth Hospital, Gateshead
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Summary

Upper limb involvement and impaired functional use of the hand is common in CP [1, 2]. It is typically evident by 1 year of age when infants fail to achieve certain motor milestones such as a refined pincer grasp. Neurological impairment can manifest with spasticity, weakness, or, in the case of dyskinetic CP, involuntary movement and fluctuations in tone [3]. Management of upper limb impairment in CP requires a comprehensive multidisciplinary team approach, with the goal of improving function, providing comfort, enabling good hygiene, or addressing cosmetic concerns.

Type
Chapter
Information
Postgraduate Paediatric Orthopaedics
The Candidate's Guide to the FRCS(Tr&Orth) Examination
 , pp. 322 - 326
Publisher: Cambridge University Press
Print publication year: 2024

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References

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