A case of congenital bilateral absence of elbow flexor muscles: Review of differential diagnosis and treatment

David T. Netscher, Oluseyi Aliu, Saleh Samra, Eric Lewis

Research output: Contribution to journalArticle

Abstract

A 1-year-old boy presented to us with congenital inability to flex his elbow. He had bilaterally absent biceps brachii and brachialis muscles, a rare condition. We performed pedicle latissimus dorsi musculocutaneous flaps to the left and right volar upper arm at 21 and 24 months of age, respectively, to create elbow flexors. By 4 years of age, he had excellent elbow flexion bilaterally with strength grade in excess of 4.5. In addition to discussing our patient's treatment options, we discuss other potential causes of weak elbow flexion when faced with this clinical dilemma.

Original languageEnglish (US)
Pages (from-to)4-12
Number of pages9
JournalHand
Volume3
Issue number1
DOIs
StatePublished - Mar 2008
Externally publishedYes

Fingerprint

Elbow
Differential Diagnosis
Muscles
Myocutaneous Flap
Superficial Back Muscles
Therapeutics
Arm

Keywords

  • Congenital muscle absence
  • Elbow flexors
  • Pectoralis major

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

A case of congenital bilateral absence of elbow flexor muscles : Review of differential diagnosis and treatment. / Netscher, David T.; Aliu, Oluseyi; Samra, Saleh; Lewis, Eric.

In: Hand, Vol. 3, No. 1, 03.2008, p. 4-12.

Research output: Contribution to journalArticle

Netscher, David T. ; Aliu, Oluseyi ; Samra, Saleh ; Lewis, Eric. / A case of congenital bilateral absence of elbow flexor muscles : Review of differential diagnosis and treatment. In: Hand. 2008 ; Vol. 3, No. 1. pp. 4-12.
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