Upper Extremity Surgery for Patients with Cerebral Palsy

Maskill, Lisa

doi:10.1007/978-3-030-46574-2_10

Cited by 1 publication

(3 citation statements)

References 34 publications

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“…Forty-two patients, 16 male and 26 female, with a mean age of 19.81 (10-34 years, SD: 5.36) years with a mean follow-up of 5.5 (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14) years, entered the study. 10 cases were 10-16 years, 29 cases were 17-25, and 3 were 26-34 years old at time of surgery.…”

Section: Resultsmentioning

confidence: 99%

“…The aim of upper extremity surgery in CP is to improve function, aesthetic appearance, and limb hygienic care. The surgery should help a better hand positioning by balancing the work of the spastic muscles, namely weakening the overactive muscles, strengthening weak muscles and stabilizing the joints [6]. The treatment decisions and the expected functional treatment outcome are dependent on how much the patient uses the hand, which in-turn is dependent on factors like severity of CP, and patient's mental and Psychosocial status [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…The neurological insult is static, but the joint deformities are dynamic and change with growth and maturation [5]. The hand functional problems may be categorized into grasp, release and also thumb -positioning deficiencies [6].…”

Section: Introductionmentioning

confidence: 99%

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Tendon transfer in spastic cerebral palsy upper limb

Gerami,

Shahcheraghi,

Javid

2023

Journal of Pediatric Orthopaedics B

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Cerebral palsy (CP) in upper limb produces functional, aesthetic and hygienic issues, and is not always amenable to surgical procedures. We are reporting a single-center, long follow-up experience with tendon transfer in wrist and forearm CP. The CP cases who had undergone tendon transfer in hand, wrist and forearm in a 14-year period were evaluated for change in motion, function and cosmetic appearance and also assessed by Manual Ability Classification System (MACS), and Dash (Disability of Arm, Shoulder, Hand) scores. Forty-two spastic CP patients with a mean age of 19.81 (10–34 years, SD: 5.36) years with a mean follow-up of 5.5 (2–14) years, entered the study. 24 cases were GMFCS I or II and 18 were III or IV. Supination beyond neutral was seen in 48.5%, and improvement in MACS scores in all the cases. Improved ‘grasp’ and ‘release’ and keyboard use was seen in 50%, 71% and 87% respectively. The satisfaction from appearance and improved function of 83–96% correlated positively with GMFSC, MACS and DASH scores. Noticeable improvement in personal hygienic care was seen in only 52% of cases. Tendon transfer in well-selected spastic upper extremity CP cases results in long-time improved function, and limb appearance – correlating with initial GMFCS and MACS scores.

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