Pronating radius osteotomy for supination deformity in children with obstetric brachial plexus palsy.
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.
van Kooten
E Oscar
EO
Department of Plastic, Reconstructive, and Hand Surgery Vrije University Medical Center Amsterdam, The Netherlands. e.vankooten@vumc.nl
Ishaque
M Asad
MA
Winters
Hay A H
HA
Ritt
Marco J P F
MJ
van der Sluijs
Hans A
HA
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*