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 journalArticlepeer-review

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 1 2008
Externally publishedYes

Keywords

  • Congenital muscle absence
  • Elbow flexors
  • Pectoralis major

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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