title: Surgery of the spastic thumb-in-palm deformity.
abstract: A twenty-year experience with a surgical procedure, previously described, for dynamic correction of spastic thumb-in-palm deformity in cerebral palsy is reported. The procedure includes lengthening of the long flexor of the thumb, proximal thumb intrinsic release and augmentation of abduction-extension of the thumb. Bone-stabilising operations are not performed. 56 patients have been followed up for an average period of 4 years and 11 months after the treatment (range 2 to 15 years). Correction of the deformity is recorded in 82% of the patients.
authors.affiliation: Institute of Orthopaedics and Traumatology, Sofia, Bulgaria.
authors.forename: I
authors.initials: I
authors.lastname: Matev
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006225:Hand / Q000503:physiopathology / Q000601:surgery; D006227:Hand Deformities, Acquired / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009068:Movement; D009128:Muscle Spasticity / Q000150:complications / Q000601:surgery*