title: Technique of Pronator Teres Rerouting in Pediatric Patients With Spastic Hemiparesis.
abstract: Children with spastic hemiparesis can present with forearm pronation deformities that can greatly impair function. In the appropriate setting, pronator teres rerouting can provide active supination while preserving active pronation, which may improve function in these patients. Patient selection is imperative for the success of this procedure because, in the wrong setting, pronator teres rerouting can lead to fixed supination deformity that may actually worsen position and function in these patients.
authors.affiliation: Charles E. Seay, Jr. Hand Center, Texas Scottish Rite Hospital for Children, Dallas, TX. Electronic address: Scott.Oishi@tsrh.org.
authors.forename: Scott
authors.initials: S
authors.lastname: Oishi
authors.affiliation: Charles E. Seay, Jr. Hand Center, Texas Scottish Rite Hospital for Children, Dallas, TX.
authors.forename: Lesley
authors.initials: L
authors.lastname: Butler
mesh_terms: D002547:Cerebral Palsy / Q000150:complications* / Q000175:diagnosis; D002648:Child; D005542:Forearm / Q000601:surgery; D006429:Hemiplegia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011379:Prognosis; D011403:Pronation / Q000502:physiology; D013484:Supination / Q000502:physiology; D013709:Tendon Transfer / Q000379:methods*; D016896:Treatment Outcome
keywords: Cerebral palsy; pronator teres rerouting; spastic hemiparesis