Surgical management of forearm pronation.
Active volitional supination enhances upper limb function. In the spastic forearm with pronation deformity, careful preoperative assessment of muscle function is necessary to design a treatment plan to improve supination. Concomitant procedures performed for flexion contractures have to be taken into consideration. The release of the forearm, wrist, and fingers from a contracted pronated position may unmask active supination or may make the need for a tendon transfer with supinatory activity obvious.
Gschwind
Claudia R
CR
Department of Hand Surgery and Peripheral Nerve Surgery, Royal North Shore Hospital, St. Leonard NSW, 2065 Sydney, Australia.
D002547:Cerebral Palsy / Q000503:physiopathology / Q000601:surgery*; D005542:Forearm / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods; D011403:Pronation / Q000502:physiology*