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Forty-one patients with cerebral palsy and pronation contracture of the forearm were
treated with pronator teres rerouting compared with 16 patients who were treated with
pronator teres tenotomy. The mean age of patients with pronator tenotomy was 4 years
3 months compared with 7 years 3 months for patients with rerouting. Follow-up averaged
94 months for tenotomy and 21 months for rerouting. Average gain in supination was
78 degrees for rerouting and 54 degrees for tenotomy. No patient lost active range
of motion during follow-up. Although pronator teres tenotomy increased active supination
of the forearm, greater active supination of the forearm was afforded patients treated
with pronator teres rerouting.
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References
- Flexor carpi ulnaris transplant and its use in cerebral palsy.J Bone Joint Surg. 1962; 44A: 1343-1352
- The surgical treatment of cerebral palsy—the upper extremity.Surg Clin No Am. 1951; 31: 385-396
- Lengthening of the elbow flexor in cerebral palsy.J Bone Joint Surg. 1979; 61A: 515-522
- Treatment of pronation contractures of the forearm in cerebral palsy by changing the insertion of the pronator radii teres.J Bone Joint Surg. 1981; 63A: 645-652
- Release of the flexor-pronator origin for flexion deformities of the hand and wrist in spastic paralysis. A study of eighteen cases.J Bone Joint Surg. 1966; 48A: 847-857
- An operation for the relief of flexion contracture in the forearm.J Bone Joint Surg. 1923; 5: 233-234
- Redirection of extensor pollicis longus in the treatment of spastic thumb-in-palm deformity.J Hand Surg. 1985; 10A: 553-560
- Upper extremity reconstructive surgery in cerebral palsy or similar conditions.in: Instructional course lectures, The Am Academy of Orthopaedic Surgeons. vol 18. The CV Mosby Co, St. Louis1961: 169-177
- Surgical improvement of the cerebral-palsied upper limb. Electromyographic studies and results of 128 operations.J Bone Joint Surg. 1964; 46A: 1203-1216
- Sensory disturbances in the hands of children with cerebral palsy.J Bone Joint Surg. 1958; 40A: 85-90
Article info
Publication history
Accepted:
November 3,
1987
Received:
April 6,
1987
Footnotes
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of the article.
**We thank Debbie Seyer, OTR, for her contribution to this study, and Deanne Rickert for typing the manuscript.
Identification
Copyright
© 1988 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.