Tendon transfers and releases for the forearm, wrist, and hand in spastic hemiplegic cerebral palsy

Carolien P. De Roode, Michelle James, Ann E. Van Heest

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Cerebral Palsy (CP) is a static disorder of movement and posture secondary to an insult to the developing central nervous system. The peripheral manifestations and functional impairments of this condition vary in severity from mild-to-profound. In hemiplegic CP, 1 side of the body is affected more than the other. Spastic hemiplegia is the most common type and that for which upper extremity surgery is most indicated. Treatment options range from physical therapy and splinting to botulinum toxin A injections (Botox) to tendon transfers to arthrodeses. This article will discuss the indications, preoperative evaluation, our preferred surgical technique, and postoperative protocol for the most commonly used tendon transfers in the upper extremity in spastic hemiplegia.

Original languageEnglish (US)
Pages (from-to)129-134
Number of pages6
JournalTechniques in Hand and Upper Extremity Surgery
Volume14
Issue number2
DOIs
StatePublished - Jun 2010

Keywords

  • Cerebral palsy
  • Spastic hemiplegia
  • Tendon transfer
  • Upper extremity

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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