Brachioradialis re-routing for the restoration of active supination and correction of forearm pronation deformity in cerebral palsy.
A brachioradialis muscle rerouting procedure was used to restore active supination in five children with cerebral palsy and a pronation deformity. Following release and lengthening of the pronator quadratus and pronator teres muscles, respectively, the brachioradialis tendon was divided as a Z plasty and the distal part of the tendon was passed through the interosseous space in a dorsal to palmar direction, and then sutured to its proximal end. The procedure resulted in a gain of 81 degrees of active supination.
Ozkan
T
T
Department of Plastic and Reconstructive Surgery, Section of Hand Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey. drozkan@prizma.net.tr
Tuncer
S
S
Aydin
A
A
Hosbay
Z
Z
Gulgonen
A
A
D000293:Adolescent; D002547:Cerebral Palsy / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005542:Forearm / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000503:physiopathology / Q000601:surgery*; D011403:Pronation / Q000502:physiology; D013484:Supination / Q000502:physiology*; D013709:Tendon Transfer / Q000379:methods*; D016896:Treatment Outcome