title: Pronating radius osteotomy for supination deformity in children with obstetric brachial plexus palsy.
abstract: OBJECTIVE
  In obstetric brachial plexus lesions, muscle imbalance caused by active supinator muscles and paralyzed pronator muscles can result in a supination position of the wrist, which, apart from cosmesis, may interfere with function.
  
  
  METHODS
  In this retrospective study, we describe the results of a pronating radius osteotomy for supination deformity of the hand in children with an obstetric brachial plexus lesion.
  
  
  RESULTS
  After a mean follow-up of 23 months, all 8 patients (mean age, 9.4 years; range, 4-13 years), operated between 1998 and 2006, had improved functionally and aesthetically.
  
  
  CONCLUSIONS
  All patients had improved functionally and aesthetically.
authors.affiliation: Department of Plastic, Reconstructive, and Hand Surgery Vrije University Medical Center Amsterdam, The Netherlands. e.vankooten@vumc.nl
authors.forename: E Oscar
authors.initials: EO
authors.lastname: van Kooten
authors.forename: M Asad
authors.initials: MA
authors.lastname: Ishaque
authors.forename: Hay A H
authors.initials: HA
authors.lastname: Winters
authors.forename: Marco J P F
authors.initials: MJ
authors.lastname: Ritt
authors.forename: Hans A
authors.initials: HA
authors.lastname: van der Sluijs
mesh_terms: D000293:Adolescent; D001860:Bone Plates; D020516:Brachial Plexus Neuropathies / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005542:Forearm / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D010246:Paralysis, Obstetric / Q000503:physiopathology / Q000601:surgery*; D011403:Pronation / Q000502:physiology; D011884:Radius / Q000601:surgery*; D012189:Retrospective Studies; D013484:Supination / Q000502:physiology*