title: Classification and surgical treatment of the thumb-in-palm deformity in cerebral palsy and spastic paralysis.
abstract: Over a 20-year period, 59 children with spasticity mainly due to cerebral palsy underwent surgery for correction of a thumb-in-palm deformity. A classification of the deformity based on the functional anatomy of the thumb divided the problem into four different types. A retrospective analysis of the results has shown the classification to be helpful in selecting a surgical option for treatment. In addition, the classification helps to keep accurate records, predict patient progress, and coordinate postoperative treatment.
authors.affiliation: Franciscan Children's Hospital, Department of Hand Surgery and Orthopaedics, Brighton, MA, USA.
authors.forename: H T
authors.initials: HT
authors.lastname: Sakellarides
authors.forename: M A
authors.initials: MA
authors.lastname: Mital
authors.forename: R A
authors.initials: RA
authors.lastname: Matza
authors.forename: P
authors.initials: P
authors.lastname: Dimakopoulos
mesh_terms: D002547:Cerebral Palsy / Q000150:complications / Q000601:surgery*; D002648:Child; D005260:Female; D006227:Hand Deformities, Acquired / Q000145:classification / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D009128:Muscle Spasticity / Q000150:complications / Q000601:surgery; D010243:Paralysis / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D013933:Thumb / Q000601:surgery*; D016896:Treatment Outcome