|Patient with arthrogryposis after rotation of left arm but before surgery on right arm and before wrist surgery.|
One of the many challenges in the child with arthrogryposis is internal rotation of the arms (arms rotated towards body). This can make functional activities like bringing the hands together difficult. It can be tough to even identify the front of the elbows- especially when the elbows don’t bend.
To address this internal rotation position, the humerus can be rotated with surgery (osteotomy or cutting of the bone) which can really improve alignment. See the attached picture. The left arm has been corrected and is resting in a more natural posture. The right side remains markedly internally rotated!