SURGERY FOR CEREBRAL-PALSY .1. CLASSIFICATION AND OPERATIVE PROCEDURES FOR PRONATION DEFORMITY

被引：51
作者：
GSCHWIND, C [1 ]
TONKIN, M [1 ]
机构：
[1] ROYAL N SHORE HOSP,HAND & MICROSURG UNIT,SYDNEY,AUSTRALIA
来源：
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME | 1992年 / 17B卷 / 04期
关键词：
D O I：
10.1016/S0266-7681(05)80260-8
中图分类号：
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
32 patients with cerebral palsy underwent operations for pronation deformity. The deformity is classified into four groups. Patients in group 1 are capable of supination beyond neutral. No surgery is necessary. Those in group 2 are able to supinate to the neutral position. A pronator quadratus release is advised and may be combined with a flexor aponeurotic release. In group 3, patients have no active supination. However a full range of passive supination is readily achieved. A pronator teres transfer is advised. Patients in group 4 have no active supination. Full passive supination may be present, but is tight. A flexor aponeurotic release and a pronator quadratus release may unmask active supinator activity. An active transfer for supination is possible as a secondary procedure.
引用
收藏
页码：391 / 395
页数：5
相关论文
共 20 条
  • [1] Basmajian J.V., Deluca C.J., Muscles Alive: Their Function Revealed by Electromyography, (1985)
  • [2] Goldner J.L., Reconstructive surgery of the hand in cerebral palsy and spastic paralysis resulting from injury to the spinal cord, Journal of Bone and Joint Surgery, 37A, 6, pp. 1141-1154, (1955)
  • [3] Goldner J.L., Upper extremity tendon transfers in cerebral palsy, Orthopedic Clinics of North America, 5, 2, pp. 389-414, (1974)
  • [4] Goldner J.L., Samilson R.L., The upper extremity in cerebral palsy, Orthopaedic Aspects of Cerebral Palsy, pp. 221-257, (1975)
  • [5] Green W.T., Banks H.H., Flexor carpi ulnaris transplant and its use in cerebral palsy, Journal of Bone and Joint Surgery, 44A, 7, pp. 1343-1352, (1962)
  • [6] Hoffer M.M., Perry J., Melkonian G.J., Dynamic electromyography and decision-making for surgery in the upper extremity of patients with cerebral palsy, Journal of Hand Surgery, 4, 5, pp. 424-431, (1979)
  • [7] House J.H., Gwathmey F.W., Fidler M.O., A dynamic approach to the thumb-in-palm deformity in cerebral palsy, Journal of Bone and Joint Surgery, 63A, 2, pp. 216-225, (1981)
  • [8] Koman L.A., Gelberman R.H., Toby E.B., Poehling G.G., Cerebral palsy: Management of the upper extremity, Clinical Orthopedics and Related Research, 253, pp. 62-74, (1990)
  • [9] Little W.J., Deformities of the human frame: character of spastic rigidity of muscles and deformity in infants, young children, and adults, Lancet, 1, (1843)
  • [10] Pollock G.A., Surgical treatment of cerebral palsy, Journal of Bone and Joint Surgery, 44B, 1, pp. 68-81, (1962)
12