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Fourteen patients with spastic paralysis from various causes (eight with cerebral
palsy) who needed minimal two handed activities to assist in self-care and who desired
improvement in appearance were treated by proximal row carpectomy. In twelve transfer
of flexor carpi ulnaris to extensor carpi radialis brevis was done, and in two the
extensors of the wrist were shortened. Various other procedures were done in some
patients. Prolonged splinting was carried out. Better extension of the wrist was obtained
and supination improved more when the transfer was subcutaneous around the ulnar border
than when through the interosseus membrane. Less tendency for the carpus to displace
ulnarward was seen when the distal half of the scaphoid was not removed. Strength
of grasp and pinch improved, but ability to release objects was diminished due to
the more dorsiflexed position of the wrist. Subjective use for two handed activities
was improved and the patients were satisfied with the appearance.
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Article info
Publication history
Received in revised form:
August 30,
1976
Received:
January 7,
1976
Footnotes
Presented at Thirty-First Annual Meeting, American Society for Surgery of the Hand, New Orleans, La., Jan. 28–30, 1976.
Identification
Copyright
© 1976 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
