HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Child Having Wrist Drop, Flexion Contractures. Tests Reveal Enlarged Metacarpal Heads. Try Botox To Release Flexors?

I am a hand therapist who has a new patient 12 yrs old who presents with a wrist drop and flexion contractures . Mom states this was present at birth and has been functional up until now. She has seen 2 local orthopedic surgeons who have not given her a dx and recommended built up pencils to aid writing. His sensory is normal in the radial nerve distribution ( per Semmes -Weinstein.) He has a SIGNIFICANT /weakness of ECR, EDC,EIP,and EPL. He is unable to simultaneously extend wrist and fingers past neutral. Films reveal enlarged 2 nd and 3rd metacarpal heads. Is LLPS splinting worth trying? Is Botox a possibility to release the tight flexors. Is he a candidate for Tendon transfer? Thank you for your time!
Wed, 27 Feb 2013
Report Abuse
Pediatrician,  's  Response
Hi
This seems to be a case of arthrogryposis, a picture may give better clue. Botox seems to be unrewarding if bony deformities coexist. Splints with oral muscle relaxants for a month may help improv therapy.
If the nerve conduction is defective then all is useless.
Thanks
Ps: often orthopedic surgeons are reluctant for tendon transfers if muscle is degenerate.
I find this answer helpful
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Orthopedic surgery


Loading Online Doctors....
Child Having Wrist Drop, Flexion Contractures. Tests Reveal Enlarged Metacarpal Heads. Try Botox To Release Flexors?

Hi This seems to be a case of arthrogryposis, a picture may give better clue. Botox seems to be unrewarding if bony deformities coexist. Splints with oral muscle relaxants for a month may help improv therapy. If the nerve conduction is defective then all is useless. Thanks Ps: often orthopedic surgeons are reluctant for tendon transfers if muscle is degenerate.