Brachioradialis re-routing for the restoration of active supination and correction of forearm pronation deformity in cerebral palsy

OZKAN, T; Tuncer, Samuray; AYDIN, A; HOSBAY, Zeynep; GULGONEN, A

doi:10.1016/j.jhsb.2004.02.003

Brachioradialis re-routing for the restoration of active supination and correction of forearm pronation deformity in cerebral palsy

OZKAN T., Tuncer S., AYDIN A., HOSBAY Z., GULGONEN A.

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, no.3, pp.265-270, 2004 (SCI-Expanded, Scopus)

Publication Type: Article / Article
Volume: Issue: 3
Publication Date: 2004
Doi Number: 10.1016/j.jhsb.2004.02.003
Journal Name: JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
Page Numbers: pp.265-270
Istanbul University Affiliated: Yes

Abstract

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 81degrees of active supination.