Flexor origin release and functional prehension in adult spastic hand deformity.
Eighteen adult patients with spastic hand deformities underwent release of the flexor-pronator origin and step-cut lengthening of the flexor pollicis longus to improve prehensile hand function. The goal of surgery was to provide active grasp release in order to improve hand function. Using a previously published grading scale, patients were graded before and after operation. At follow-up after an average of 35 months (range 24-64 months), all had improved by at least two functional levels.
Pinzur
M S
MS
Department of Orthopaedics and Rehabilitation, Loyola University Stritch School of Medicine, Maywood, Illinois.
D000293:Adolescent; D000328:Adult; D001930:Brain Injuries / Q000150:complications; D002547:Cerebral Palsy / Q000150:complications; D002561:Cerebrovascular Disorders / Q000150:complications; D006225:Hand / Q000503:physiopathology / Q000601:surgery; D006227:Hand Deformities, Acquired / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009068:Movement; D009128:Muscle Spasticity / Q000150:complications*; D009132:Muscles / Q000601:surgery