Treatment of the upper limb in the child with arthrogryposis

The upper limb in a child with the amyoplasia form of arthrogryposis presen ts a challenge to the pediatric upper limb surgeon. The overriding goal is to facilitate function for independent self-care and, in this age of electr onic information, access to computers. For the child with arthrogryposis, a bility to use computers may allow economic independence. This article revie ws the principles of reconstructive surgery and the operative and nonoperat ive means to improve position and enhance function in the arthrogrypotic up per limb.